Organization Active NPI

Pain Specialists of Illinois, S.C

  • Interventional Pain Medicine Physician
  • Chicago, IL
National Provider Identifier
1699100859
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN SPECIALISTS OF ILLINOIS, S.C
Doing business as
Ortho Spine and Pain Institute
Practice address
1925 E 95TH St
Chicago, IL 60617
Phone
(630) 571-1100
Fax
(630) 504-6265
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Dr. Suneela Harsoor, M.D.
Title
President
Phone
(630) 571-1100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1925 E 95TH St
Chicago, IL 60617

Mailing address

PO Box 3307
Oak Brook, IL 60522-3307
Phone (630) 571-1100

Other practice location 1

2315 E 93rd St Ste 236
Chicago, IL 60617-3984
Phone (630) 571-1100

Other practice location 2

534 Chestnut St Ste 100
Hinsdale, IL 60521-3175
Phone (630) 571-1100

Other names 1

  • Ortho Spine and Pain Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1699100859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3307",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223307",
            "telephone_number": "630-571-1100",
            "fax_number": "630-504-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60617",
            "telephone_number": "630-571-1100",
            "fax_number": "630-504-6265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2315 E 93rd St Ste 236",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606173984",
            "country_code": "US",
            "telephone_number": "630-571-1100",
            "fax_number": "630-504-6265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "534 Chestnut St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213175",
            "country_code": "US",
            "telephone_number": "630-571-1100",
            "fax_number": "630-504-6265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN SPECIALISTS OF ILLINOIS, S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "HARSOOR",
        "authorized_official_first_name": "SUNEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-571-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ortho Spine and Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ortho Spine and Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.