Active NPI
Pain Care Consultants, S.C.
- Interventional Pain Medicine Physician
- Park Ridge, IL
National Provider Identifier
1669420055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- PAIN CARE CONSULTANTS, S.C.
- Practice address
- 1875 W Dempster St
Suite 405
Park Ridge, IL 60068-1186 - Phone
- (847) 723-2294
- NPI assigned
- May 5, 2006
- 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
- Mr. Kendall R. Lutz
- Title
- Billing Manager
- Phone
- (847) 836-7015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1875 W Dempster St
Suite 405
Park Ridge, IL 60068-1186
Mailing address
185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015
National Provider Directory
National Provider DirectoryLocations
1051 W Rand Rd
Ste 104
Arlington Heights, IL 60004
Phone (847) 387-3864
5647 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 631-9420
2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850
1534 Elizabeth Ave
Ste 201
Shreveport, LA 71101
Phone (318) 629-5505
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Arlington Heights, IL
- NPI 1023019973
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1174637326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669420055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PENNY AVE",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181454",
"telephone_number": "847-836-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 W DEMPSTER ST",
"address_2": "SUITE 405",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681186",
"telephone_number": "847-723-2294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN CARE CONSULTANTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUTZ",
"authorized_official_first_name": "KENDALL",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "847-836-7015",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.