Active NPI
Pain Specialists of Greater Chicago
- Pain Medicine (Anesthesiology) Physician
- Burr Ridge, IL
National Provider Identifier
1740456565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- PAIN SPECIALISTS OF GREATER CHICAGO
- Practice address
- 7055 High Grove Blvd
Suite 100
Burr Ridge, IL 60527-7593 - Phone
- (630) 371-9980
- Fax
- (630) 371-9983
- NPI assigned
- May 1, 2008
- 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
- Anne Glaser
- Title
- Controller
- Phone
- (630) 371-9980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
7055 High Grove Blvd
Suite 100
Burr Ridge, IL 60527-7593
Mailing address
7055 High Grove Blvd
Suite 100
Burr Ridge, IL 60527-7593
Phone (630) 371-9980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036078362 | Other | IL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
7055 High Grove Blvd
Ste 100
Burr Ridge, IL 60527
Phone (630) 371-1559
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Burr Ridge, IL
- NPI 1881691863
-
- Physician Assistant
- Burr Ridge, IL
- NPI 1558862219
-
- Psychiatric/Mental Health Nurse Practitioner
- Hoffman Estates, IL
- NPI 1316657752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1740456565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 HIGH GROVE BLVD",
"address_2": "SUITE 100",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277593",
"telephone_number": "630-371-9980",
"fax_number": "630-371-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 HIGH GROVE BLVD",
"address_2": "SUITE 100",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605277593",
"telephone_number": "630-371-9980",
"fax_number": "630-371-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN SPECIALISTS OF GREATER CHICAGO",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "GLASER",
"authorized_official_first_name": "ANNE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "630-371-9980"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "036078362",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.