Organization Active NPI

Algospain Services, SC

Doing business as Algos Pain & Spine Care

  • Pain Medicine (Anesthesiology) Physician
  • Skokie, IL
National Provider Identifier
1558833764
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ALGOSPAIN SERVICES, SC
Doing business as
Algos Pain & Spine Care
Practice address
4711 Golf Rd Ste 1075
Skokie, IL 60076-1272
Phone
(224) 998-0900
Fax
(224) 304-4320
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Dr. Daniel Cha, MDNPI 1063442051
Title
Owner
Phone
(312) 330-4917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4711 Golf Rd Ste 1075
Skokie, IL 60076-1272

Mailing address

111 S Peoria St Unit 201
Chicago, IL 60607-2883

Other practice location 1

1157 W 18th St
Chicago, IL 60608-2387
Phone (312) 344-1632

Other names 1

  • Algos Pain & Spine Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190228000434 IL Part B Supplier - Clinic/Group Practice 8123367646 Receives reassigned benefits from 2 practitioners
Practice locations: Skokie, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2166196Algospain Services SC4711 Golf Rd - Ste 1075, Skokie, IL 60076Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

1020 Milwaukee Ave
Ste 370
Deerfield, IL 60015

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1558833764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S PEORIA ST UNIT 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 1075",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761272",
            "telephone_number": "224-998-0900",
            "fax_number": "224-304-4320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1157 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606082387",
            "country_code": "US",
            "telephone_number": "312-344-1632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALGOSPAIN SERVICES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-330-4917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Algos Pain & Spine Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Algos Pain & Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.