Illinois Pain Treatment Institute, LTD

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

ILLINOIS PAIN TREATMENT INSTITUTE, LTD

Practice address

4309 W Medical Center Dr Ste B103
McHenry, IL 60050-8438

Phone

(847) 289-8822

Fax

(847) 289-0815

NPI assigned

Jul 7, 2023

Last updated

Apr 21, 2025By 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

Chadi Iskandar Yaacoub, MD

Title

Medical Director

Phone

(847) 289-8822

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Illinois Pain Treatment Institute, LTD

  • Interventional Pain Medicine Physician
  • Elgin, IL
  • NPI 1295811479

  3577464940

  Same PAC ID
• Illinois Pain Treatment Institute, LTD

  • Pain Clinic/Center
  • St Charles, IL
  • NPI 1376221473

  3577464940

  Same PAC ID
• Illinois Pain Treatment Institute, LTD

  dba Illinois Pain and Spine Institute

  • Pain Clinic/Center
  • Libertyville, IL
  • NPI 1417758483

  3577464940

  Same PAC ID
• Illinois Pain Treatment Institute, LTD

  • Pain Clinic/Center
  • Barrington, IL
  • NPI 1740968841

  3577464940

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Illinois Pain Treatment Institute LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Illinois Pain Treatment Institute, LTD

  • Pain Clinic/Center
  • St Charles, IL
  • NPI 1376221473
  NPD tax ID
• Illinois Pain Treatment Institute, LTD

  • Pain Clinic/Center
  • Barrington, IL
  • NPI 1740968841
  NPD tax ID

Locations

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1730867839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203805",
            "telephone_number": "847-289-8822",
            "fax_number": "847-289-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE B103",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508438",
            "telephone_number": "847-289-8822",
            "fax_number": "847-289-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS PAIN TREATMENT INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A",
        "authorized_official_last_name": "YAACOUB",
        "authorized_official_first_name": "CHADI",
        "authorized_official_middle_name": "ISKANDAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-289-8822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dino Infelise, PTA

• Pain Clinic/Center in McHenry, IL
• Providers in McHenry, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.