Organization Active NPI

Metro Pain Management, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Des Plaines, IL
National Provider Identifier
1679858674
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
036118798 Issued in IL
Legal business name
METRO PAIN MANAGEMENT, LLC
Practice address
2720 S River Rd
Suite 218
Des Plaines, IL 60018-4106
Phone
(708) 686-0040
NPI assigned
Oct 21, 2011
Last updated
Oct 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Authorized official

Name
Laurie Guagenti
Title
Manager
Phone
(312) 480-5186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 036118798 IL Primary

Addresses

Primary practice location

2720 S River Rd
Suite 218
Des Plaines, IL 60018-4106

Mailing address

2720 S River Rd
Suite 218
Des Plaines, IL 60018-4106
Phone (708) 686-0040

National Provider Directory

National Provider Directory

Locations

2720 S River Rd
Ste 21
Des Plaines, IL 60018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1679858674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD",
            "address_2": "SUITE 218",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184106",
            "telephone_number": "708-686-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 S RIVER RD",
            "address_2": "SUITE 218",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184106",
            "telephone_number": "708-686-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-21",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "GUAGENTI",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-480-5186"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036118798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.