Organization Active NPI

Pain Care Consultants, S.C.

  • Interventional Pain Medicine Physician
  • Park Ridge, IL
National Provider Identifier
1669420055
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.