Organization Active NPI

Chicago Pain & Rehab Center, Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Deerfield, IL
National Provider Identifier
1699944918
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CHICAGO PAIN & REHAB CENTER, INC
Practice address
844 Swallow St
Deerfield, IL 60015-3651
Phone
(847) 530-9317
Fax
(847) 541-3316
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Aleksandr Goldvekht, MDNPI 1700807807
Title
President
Phone
(847) 530-9317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X IL Primary

Addresses

Primary practice location

844 Swallow St
Deerfield, IL 60015-3651

Mailing address

844 Swallow St
Deerfield, IL 60015-3651
Phone (847) 530-9317

National Provider Directory

National Provider Directory

Locations

6821 Dempster St
Morton Grove, IL 60053
Phone (224) 998-5386

Practitioners & affiliated clinicians

Practitioners 4

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": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1699944918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 SWALLOW ST",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153651",
            "telephone_number": "847-530-9317",
            "fax_number": "847-541-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 SWALLOW ST",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600153651",
            "telephone_number": "847-530-9317",
            "fax_number": "847-541-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO PAIN & REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "GOLDVEKHT",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-530-9317",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.