Polpain Interventional Pain Management Center LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036.130013 Issued in IL

Legal business name

POLPAIN INTERVENTIONAL PAIN MANAGEMENT CENTER LTD.

Practice address

2090 Gladstone Dr.
Unit B
Glendale Heights, IL 60139

Phone

(630) 307-0200

Fax

(312) 377-1644

NPI assigned

Jun 24, 2014

Last updated

Jun 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zbigniew Rogozinski, M.D.

Title

Director

Phone

(630) 307-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1659786069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 GLADSTONE DR. UNIT B.",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "60139",
            "telephone_number": "630-307-0200",
            "fax_number": "312-377-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 GLADSTONE DR.",
            "address_2": "UNIT B",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "60139",
            "telephone_number": "630-307-0200",
            "fax_number": "312-377-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLPAIN INTERVENTIONAL PAIN MANAGEMENT CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "ROGOZINSKI",
        "authorized_official_first_name": "ZBIGNIEW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-307-0200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036.130013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shriya Patel
• John Petrucci, DDS
• Jovin Philip, DPT
• Physicians Home Care LLC
• Amit Pithva, D.D.S.
• Madhuri Punaty, DMD
• Cho Pyone
• Umar Qadir
• Wendie M Radousky
• Khalilur Rahaman, DN

• Clinic/Center in Glendale Heights, IL
• Providers in Glendale Heights, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.