National Pain Clinic, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

NATIONAL PAIN CLINIC, LLC

Practice address

1401 E 12TH St
Mendota, IL 61342

Phone

(815) 539-1422

NPI assigned

Feb 19, 2015

Last updated

Jul 3, 2018By 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

Dr. Raj B. Uppal, MD

Title

Owner

Phone

(630) 737-9885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1770975377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 MACOM DR STE 101",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605643202",
            "telephone_number": "630-737-9885",
            "fax_number": "630-737-9886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 12TH ST",
            "city": "MENDOTA",
            "state": "IL",
            "postal_code": "61342",
            "telephone_number": "815-539-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PAIN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-737-9885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendota Community Hospital (OSF Saint Paul Medical Center)
• Mendota TWP H S Dist 280
• Michael P. Vercimak MDSC
• Tamara Marie Morris, COTA
• Deepak Nathani, M.D.
• Northland Hearing Centers, Inc. (Hammers Hearing Care Center)
• Christine M Novak, LCPC
• Now Care LLC
• Susan J Olsen, APRN FNP-C
• Pekin Prohealth Inc. (Procare Home Health Services)

• Pain Medicine (Anesthesiology) Physician in Mendota, IL
• Providers in Mendota, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.