Organization Active NPI

Art of Pain Co

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1649782772
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036108247 Issued in IL
Legal business name
ART OF PAIN CO
Practice address
8012 S Crandon Ave
Chicago, IL 60617-1124
Phone
(773) 768-0810
Fax
(773) 356-5186
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Dr. Suada Spirtovic, MD
Title
Owner
Phone
(312) 646-9727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 036108247 IL Primary

Addresses

Primary practice location

8012 S Crandon Ave
Chicago, IL 60617-1124

Mailing address

PO Box 570
Lake Forest, IL 60045-0570
Phone (224) 231-4363

Other identifiers 1

IdentifierTypeStateIssuer
036108247MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1649782772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450570",
            "telephone_number": "224-231-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171124",
            "telephone_number": "773-768-0810",
            "fax_number": "773-356-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF PAIN CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "SPIRTOVIC",
        "authorized_official_first_name": "SUADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-646-9727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036108247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108247",
            "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 Oct 30, 2017; 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.