Organization Active NPI

Advanced Pain Care MD SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1619190386
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADVANCED PAIN CARE MD SC
Practice address
4500 W Fullerton Ave
Chicago, IL 60639-1934
Phone
(773) 525-6988
Fax
(773) 525-6989
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Barry Ring
Title
MD
Phone
(773) 525-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4500 W Fullerton Ave
Chicago, IL 60639-1934

Mailing address

2626 N Lakeview Ave
#2707
Chicago, IL 60614-6173
Phone (773) 525-6988

Other identifiers 1

IdentifierTypeStateIssuer
01628160OtherILBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1619190386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N LAKEVIEW AVE",
            "address_2": "#2707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146173",
            "telephone_number": "773-525-6988",
            "fax_number": "773-525-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391934",
            "telephone_number": "773-525-6988",
            "fax_number": "773-525-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "RING",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-525-6988",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01628160",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.