Active NPI
Illinois Pain and Neuropathy Center LTD
- Pain Medicine (Anesthesiology) Physician
- Lemont, IL
National Provider Identifier
1770109142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ILLINOIS PAIN AND NEUROPATHY CENTER LTD
- Practice address
- 1192 Walter St Ste C
Lemont, IL 60439-2905 - Phone
- (630) 257-0550
- Fax
- (630) 257-0555
- NPI assigned
- Jun 22, 2020
- Last updated
- Jun 22, 2020
- 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
- Jeffrey Forzley
- Title
- Owner
- Phone
- (630) 257-0550
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
1192 Walter St Ste C
Lemont, IL 60439-2905
Mailing address
1192 Walter St Ste C
Lemont, IL 60439-2905
Phone (630) 257-0550
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Chiropractor
- Lemont, IL
- NPI 1932235090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592784000000",
"number": "1770109142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1192 WALTER ST STE C",
"city": "LEMONT",
"state": "IL",
"postal_code": "604392905",
"telephone_number": "630-257-0550",
"fax_number": "630-257-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1192 WALTER ST STE C",
"city": "LEMONT",
"state": "IL",
"postal_code": "604392905",
"telephone_number": "630-257-0550",
"fax_number": "630-257-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLINOIS PAIN AND NEUROPATHY CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A",
"authorized_official_last_name": "FORZLEY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-257-0550"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lemont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.