Organization Active NPI

Chicagoland Advanced Pain and Headache Clinics LTD

Doing business as ProClinics

  • Pain Medicine (Anesthesiology) Physician
  • Berwyn, IL
National Provider Identifier
1689682858
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CHICAGOLAND ADVANCED PAIN AND HEADACHE CLINICS LTD
Doing business as
ProClinics
Practice address
6626 W Cermak Rd
Berwyn, IL 60402
Phone
(708) 788-7246
Fax
(708) 788-7267
NPI assigned
Aug 4, 2006
Last updated
Sep 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Ossama F Abdellalif
Title
President
Phone
(708) 788-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

6626 W Cermak Rd
Berwyn, IL 60402

Mailing address

PO Box 56769
Chicago, IL 60656-0769
Phone (708) 788-1246

Other names 1

  • ProClinics Doing business as

National Provider Directory

National Provider Directory

Locations

4013 W Fullerton Ave
Chicago, IL 60639
Phone (773) 772-5740

101 S McLean Blvd
Ste A
South Elgin, IL 60177
Phone (847) 717-3400

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1689682858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56769",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606560769",
            "telephone_number": "708-788-1246",
            "fax_number": "708-788-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 W CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-788-7246",
            "fax_number": "708-788-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND ADVANCED PAIN AND HEADACHE CLINICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "ABDELLALIF",
        "authorized_official_first_name": "OSSAMA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProClinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.