Laser Spine Surgical Solutions

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

LASER SPINE SURGICAL SOLUTIONS

Practice address

16604 107TH St
Orland Park, IL 60467-8898

Phone

(708) 966-8000

Fax

(708) 460-0094

NPI assigned

Jun 12, 2019

Last updated

Jun 13, 2019By 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

Faris Abusharif, MDNPI 1437268034

Title

Owner-Physician

Phone

(708) 460-9000

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Faris F Abusharif, MD

  • Pain Medicine (Anesthesiology) Physician
  • Orland Park, IL
  • NPI 1437268034
  NPD Authorized official

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1558920579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16604 107TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-966-8000",
            "fax_number": "708-460-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16604 107TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-966-8000",
            "fax_number": "708-460-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE SURGICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "ABUSHARIF",
        "authorized_official_first_name": "FARIS",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "708-460-9000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Lardi, D.C.
• Ernesto Ibalio Lardizabal, M.D.
• Tsuki Larkins
• Josephine A. Larocca, D.M.D.
• Laser Spine Center of Chicago LLC
• Adrienne C Latronica
• Laureen L Ambrose MD SC
• Ashley Nicole Laurisch, DO
• Gail Scruggs Lauryn, A.P.N.
• Lawn Obstetrics and Gynecology, S.C.

• Pain Medicine (Anesthesiology) Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.