Organization Active NPI

Chicago Pain Anesthesia S C

  • Anesthesiology Physician
  • Lombard, IL
National Provider Identifier
1588034540
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CHICAGO PAIN ANESTHESIA S C
Practice address
665 W North Ave Ste 101
Lombard, IL 60148-1134
Phone
(708) 244-7246
Fax
(708) 393-4099
NPI assigned
Oct 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Dr. June D Lee, MDNPI 1023175023
Title
President
Phone
(708) 244-7246

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

665 W North Ave Ste 101
Lombard, IL 60148-1134

Mailing address

665 W North Ave Ste 101
Lombard, IL 60148-1134
Phone (708) 244-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151215001462 IL Part B Supplier - Clinic/Group Practice 3375844491 Receives reassigned benefits from 2 practitioners
Practice locations: Lombard, IL

National Provider Directory

National Provider Directory

Locations

665 W North Ave
Ste 101
Lombard, IL 60148
Phone (708) 244-7246

Practitioners & affiliated clinicians

Practitioners 2

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": "1443830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1588034540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 W NORTH AVE STE 101",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481134",
            "telephone_number": "708-244-7246",
            "fax_number": "708-393-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 W NORTH AVE STE 101",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481134",
            "telephone_number": "708-244-7246",
            "fax_number": "708-393-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN ANESTHESIA S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-03",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-244-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.