Active NPI
Pain Management Associates of Greater Chicago SC
- Pain Clinic/Center
- Hinsdale, IL
National Provider Identifier
1619490885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 0426260610
- Legal business name
- PAIN MANAGEMENT ASSOCIATES OF GREATER CHICAGO SC
- Practice address
- 908 N Elm St Ste 301
Hinsdale, IL 60521-3625 - Phone
- (630) 794-9999
- Fax
- (630) 794-9998
- NPI assigned
- Jul 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Bacani
- Title
- Credentialing Coordinator
- Phone
- (630) 794-9999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 0426260610 | IL | Primary |
Addresses
Primary practice location
908 N Elm St Ste 301
Hinsdale, IL 60521-3625
Mailing address
908 N Elm St Ste 301
Hinsdale, IL 60521-3625
Phone (630) 794-9999
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1619490885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N ELM ST STE 301",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213625",
"telephone_number": "630-794-9999",
"fax_number": "630-794-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 N ELM ST STE 301",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213625",
"telephone_number": "630-794-9999",
"fax_number": "630-794-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT ASSOCIATES OF GREATER CHICAGO SC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BACANI",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "630-794-9999"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "IL",
"license": "0426260610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hinsdale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.