Active NPI
Axess Clinic and Diagnostics LLC
- Pain Medicine (Anesthesiology) Physician
- Chicago, IL
National Provider Identifier
1659130359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Mohammed Quadri, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 DirectoryLocations
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.
-
- Pain Medicine (Anesthesiology) Physician
- Michigan City, IN
- NPI 1992926307
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.