Pain Management Centers of Illinois SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

042.620378 Issued in IL

Legal business name

PAIN MANAGEMENT CENTERS OF ILLINOIS SC

Practice address

8269 W Golf Rd
Niles, IL 60714-1156

Phone

(847) 299-7000

Fax

(847) 299-7007

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Peter Slavin, D.C.

Title

President

Phone

(847) 299-7000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1609273069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "847-299-7000",
            "fax_number": "847-299-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8269 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141156",
            "telephone_number": "847-299-7000",
            "fax_number": "847-299-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CENTERS OF ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "SLAVIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-299-7000",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "042.620378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth I Oriordan, MD
• Malgorzata Orynczak, PT
• Tilo Oumboutty, LMT
• Tiffany Pacocha, NP
• Pain Care Advisors, LLC
• Elizabeth Pajak, DDS
• Kristine Pallarca, PHARMD
• Vijeta Reddy Pamudurthy, D.O.
• Riddhi Panchal
• Paperclip Health

• Physical Medicine & Rehabilitation Physician in Niles, IL
• Providers in Niles, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.