Active NPI
Pain Specialists of Illinois, S.C
- Interventional Pain Medicine Physician
- Chicago, IL
National Provider Identifier
1699100859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary | ||
| Physical Therapist | 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
National Provider Directory
National Provider DirectoryNPI 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.