Organization Active NPI

Pain Solutions, LLC

  • Pain Medicine Physician
  • Skokie, IL
National Provider Identifier
1740946524
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN SOLUTIONS, LLC
Practice address
9669 Kenton Ave Ste 510
Skokie, IL 60076-1267
Phone
(847) 675-1064
Fax
(847) 933-0878
NPI assigned
Nov 16, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
Dr. Dinora Ingberman, MDNPI 1609861657
Title
Owner
Phone
(847) 675-1064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

9669 Kenton Ave Ste 510
Skokie, IL 60076-1267

Mailing address

9226 Keating Ave
Skokie, IL 60076-1525
Phone (847) 675-1064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220226000250 IL Part B Supplier - Clinic/Group Practice 0042604530 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, IL; Skokie, IL; Gurnee, IL

National Provider Directory

National Provider Directory

Locations

1 S Greenleaf St
Ste 1
Gurnee, IL 60031
Phone (847) 599-9171

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": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1740946524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 KEATING AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761525",
            "telephone_number": "847-675-1064",
            "fax_number": "847-933-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 510",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761267",
            "telephone_number": "847-675-1064",
            "fax_number": "847-933-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "INGBERMAN",
        "authorized_official_first_name": "DINORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-675-1064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.

Verify at the official NPI Registry.