Organization Active NPI

Gateway Spine and Pain Physicians, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Hinsdale, IL
National Provider Identifier
1497437792
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GATEWAY SPINE AND PAIN PHYSICIANS, LLC
Practice address
12 Salt Creek LN Ste 350
Hinsdale, IL 60521-8612
Phone
(630) 226-1130
Fax
(630) 226-1134
NPI assigned
Aug 4, 2023
Organization subpart
Yes
Parent organization
GATEWAY SPINE AND PAIN PHYSICIANS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Schlembach
Title
VP Operations and Compliance
Phone
(636) 980-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

12 Salt Creek LN Ste 350
Hinsdale, IL 60521-8612

Mailing address

329 Remington Blvd Ste 205
Bolingbrook, IL 60440-5817
Phone (630) 226-1130

National Provider Directory

National Provider Directory
Part of
Gateway Spine and Pain Physicians LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1497437792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD STE 205",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405817",
            "telephone_number": "630-226-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SALT CREEK LN STE 350",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218612",
            "telephone_number": "630-226-1130",
            "fax_number": "630-226-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY SPINE AND PAIN PHYSICIANS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY SPINE AND PAIN PHYSICIANS, LLC",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "SCHLEMBACH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "VP OPERATIONS AND COMPLIANCE",
        "authorized_official_telephone_number": "636-980-6500"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.