Organization Active NPI

Axess Clinic and Diagnostics LLC

  • Pain Medicine (Anesthesiology) Physician
  • Chicago, IL
National Provider Identifier
1659130359
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
AXESS CLINIC AND DIAGNOSTICS LLC
Practice address
6141 W Touhy Ave Ste B
Chicago, IL 60646-1268
Phone
(708) 669-7175
Fax
(312) 312-7151
NPI assigned
Mar 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Syed Mohammed Quadri, DONPI 1992926307
Title
President
Phone
(312) 996-4020

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 (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

6141 W Touhy Ave Ste B
Chicago, IL 60646-1268

Mailing address

10176 W 400 N Ste a
Michigan City, IN 46360-9009

National Provider Directory

National Provider Directory

Locations

6141 W Touhy Ave
Ste B
Chicago, IL 60646
Phone (708) 669-7175

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1659130359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10176 W 400 N STE A",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463609009",
            "fax_number": "312-312-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 W TOUHY AVE STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606461268",
            "telephone_number": "708-669-7175",
            "fax_number": "312-312-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXESS CLINIC AND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-996-4020",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2024; 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.