Pain Care Associates of Chicago, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PAIN CARE ASSOCIATES OF CHICAGO, LLC

Practice address

7456 S State Rd
Suite 301
Bedford Park, IL 60638-6623

Phone

(708) 930-1203

Fax

(312) 787-7259

NPI assigned

Jun 4, 2012

Last updated

Jun 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nader Bozorgi, M.D

Title

Owner

Phone

(708) 930-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1720349913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD",
            "address_2": "SUITE 301",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386623",
            "telephone_number": "708-930-1203",
            "fax_number": "312-787-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 S STATE RD",
            "address_2": "SUITE 301",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386623",
            "telephone_number": "708-930-1203",
            "fax_number": "312-787-7259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE ASSOCIATES OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "BOZORGI",
        "authorized_official_first_name": "NADER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-930-1200",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.