Chicago Interventional Pain Medicine, SC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036106947 Issued in IL

Legal business name

CHICAGO INTERVENTIONAL PAIN MEDICINE, SC

Practice address

902 Doral Dr
Bartlett, IL 60103-3029

Phone

(847) 275-3639

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Arkadiusz Grochowski, M.D.NPI 1497704720

Title

President

Phone

(847) 275-3639

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Arkadiusz Grochowski, MD

  • Interventional Pain Medicine Physician
  • Schaumburg, IL
  • NPI 1497704720
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1619156882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 DORAL DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033029",
            "telephone_number": "847-275-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 DORAL DR",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033029",
            "telephone_number": "847-275-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO INTERVENTIONAL PAIN MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "GROCHOWSKI",
        "authorized_official_first_name": "ARKADIUSZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-275-3639",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036106947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036106947",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sujai Chang
• Grace Chao, MS, RDN, LDN
• Charter Mental Care, S.C.
• Neha Chavda, PT, DPT
• Ankur M Chhadia, M.D.
• Chicagoland Foot and Ankle, PC
• Monica Chirila, MD
• Nicole Chisholm, ATC
• Nicole M Cikauskas, NP-C
• Clare Oaks (Assisi Healthcare Center at Clare Oaks)

• Pain Medicine (Anesthesiology) Physician in Bartlett, IL
• Providers in Bartlett, 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 Sep 27, 2021; 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.