Organization Active NPI

Pri Chicago PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Elmhurst, IL
National Provider Identifier
1639822737
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PRI CHICAGO PLLC
Practice address
188 W Industrial Dr Ste 112
Elmhurst, IL 60126-1608
Phone
(847) 730-3276
Fax
(847) 201-2543
NPI assigned
Jan 28, 2022
Last updated
Oct 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Neelesh PatelNPI 1659380962
Title
Account Officer
Phone
(847) 730-3276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

188 W Industrial Dr Ste 112
Elmhurst, IL 60126-1608

Mailing address

188 W Industrial Dr Ste 110
Elmhurst, IL 60126-1608
Phone (630) 941-8190

Other practice location 1

2222 Chestnut Ave Ste 101
Glenview, IL 60026-1674
Phone (847) 730-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220131001464 IL Part B Supplier - Clinic/Group Practice 5496148223 Receives reassigned benefits from 15 practitioners
Practice locations: Elmhurst, IL

National Provider Directory

National Provider Directory

Locations

188 W Industrial Dr
Ste 110
Elmhurst, IL 60126
Phone (331) 979-7475

188 W Industrial Dr
Ste 112
Elmhurst, IL 60126
Phone (847) 644-7581

2222 Chestnut Ave
Ste 101
Glenview, IL 60026
Phone (847) 243-6041

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1639822737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR STE 110",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261608",
            "telephone_number": "630-941-8190",
            "fax_number": "847-510-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 W INDUSTRIAL DR STE 112",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261608",
            "telephone_number": "847-730-3276",
            "fax_number": "847-201-2543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 Chestnut Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600261674",
            "country_code": "US",
            "telephone_number": "847-730-3276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRI CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-10-27",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEELESH",
        "authorized_official_title_or_position": "ACCOUNT OFFICER",
        "authorized_official_telephone_number": "847-730-3276"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.