Pain Centers of Chicago LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN CENTERS OF CHICAGO LLC

Practice address

5666 E State St
Rockford, IL 61108-2425

Phone

(815) 729-0450

NPI assigned

Feb 3, 2021

Last updated

Mar 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sarah Bernocco

Title

Provider Enrollment Team Lead

Phone

(516) 945-3163

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pain Centers of Chicago LLC

  • Pain Medicine Physician
  • Melville, NY
  • NPI 1801964473

  O20050307000434

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• American Anesthesiology Associates of Illinois, S.C.

  • Anesthesiology Physician
  • Mokena, IL
  • NPI 1962512335

  Member Of

  NPD member

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leigh Ann Ankeney, BSN, RN, APN, FNP-C

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1336707611
  NPD
• Nirali Shah Doshi, M.D.

  • Pain Medicine Physician
  • Joliet, IL
  • NPI 1659664969
  NPD
• Steven Jiotis, MD

  • Anesthesiology Physician
  • Joliet, IL
  • NPI 1164470027

  Pain Medicine

  NPD
• Maen Martini, MD

  • Anesthesiology Physician
  • Elmhurst, IL
  • NPI 1427016674

  Pain Medicine

  NPD
• Mauricio Morales, MD

  • Anesthesiology Physician
  • Joliet, IL
  • NPI 1295793479

  Pain Medicine

  NPD
• Abed Rahman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
  • NPI 1629115258
  NPD
• Keith Wayne Schmidt, M.D.

  • Pain Medicine Physician
  • Hoffman Estates, IL
  • NPI 1407162746
  NPD
• Jennifer Thompson, FNP-C

  • Family Nurse Practitioner
  • Joliet, IL
  • NPI 1982246229
  NPD
• Ammar Wahood, MD

  • Pain Medicine Physician
  • Joliet, IL
  • NPI 1720375611
  NPD
• Memo Verdan, MD

  • Anesthesiology Physician
  • Joliet, IL
  • NPI 1679530729
  NPD (past)
• Mathew Walsh, MD

  • Anesthesiology Physician
  • Oak Park, IL
  • NPI 1891705281
  NPD (past)
• Carol Harris, MD

  • Interventional Pain Medicine Physician
  • Meridian, MS
  • NPI 1710935671
  NPD (past)

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1508457383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474300",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5666 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082425",
            "telephone_number": "815-729-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTERS OF CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "BERNOCCO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT TEAM LEAD",
        "authorized_official_telephone_number": "516-945-3163"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PA Peterson LLC (The Villa at PA Peterson)
• Douglas Joseph Pacaccio, DPM
• Adriana Carolina Padron, DMD
• Andrea Padron, BSN
• Ixchel Pagan, LMT
• Pain Management Associates, LTD
• Pain-Free Living Services of Illinois, S.C.
• Daniel Clark Painter, M.D.
• John Anthony Pakiela, DO
• Andrew J Palazzolo, M.D.

• Pain Medicine Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.