Kalina Pain Institute

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

036119113 Issued in IL

Legal business name

KALINA PAIN INSTITUTE

Practice address

334 Circle Ave
Forest Park, IL 60130-1610

Phone

(708) 628-8574

Fax

(866) 282-9069

NPI assigned

Dec 29, 2014

Last updated

Sep 14, 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

Jared A Kalina, D.O.NPI 1871741132

Title

Owner

Phone

(773) 899-2261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

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.

• Jared Allan Kalina, DO

  • Interventional Pain Medicine Physician
  • Forest Park, IL
  • NPI 1871741132
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1821486861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041213",
            "telephone_number": "773-899-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 CIRCLE AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601301610",
            "telephone_number": "708-628-8574",
            "fax_number": "866-282-9069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5425 W Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606414127",
            "country_code": "US",
            "telephone_number": "708-667-0609",
            "fax_number": "866-282-9069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KALINA PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "KALINA",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-899-2261",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "036119113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Johnson, APN
• Laneta Chanelle Johnson, DT
• Julia Jordan-Lake
• Joseph & Brooks Family Therapy LLC
• Julie E Josler, LCPC
• Jared Allan Kalina, DO
• Atima Kamra, DDS
• Jennifer L Kemp, M.S., CCLS, CPST
• Melanie Ketchmark
• Meeae King

• Pain Medicine Physician in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.