Illinois Pain and Therapy Associates Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ILLINOIS PAIN AND THERAPY ASSOCIATES INC.

Practice address

5401 S Wentworth Ave
Chicago, IL 60609-6300

Phone

(312) 624-8364

Fax

(312) 929-3323

NPI assigned

Aug 29, 2019

Organization subpart

No

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

Authorized official

Name

Neema Bayran, MD

Title

Ceo

Phone

(312) 624-8364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1609424084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "312-624-8364",
            "fax_number": "312-929-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "312-624-8364",
            "fax_number": "312-929-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PAIN AND THERAPY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "BAYRAN",
        "authorized_official_first_name": "NEEMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-624-8364",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois Medical Group SC
• Illinois Medical Specialists PC
• Illinois Mobile Foot Care LLC
• Illinois Mobile Therapy Group LLC
• Illinois Orthopedic Network, LLC
• Illinois Pain Management S C
• Illinois Pharmacy Management, LLC
• Illinois Physicians Alliance, LLC
• Illinois Physicians Network, LLC
• Illinois Physicians Wellness Group LLC

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.