Organization Active NPI

PMR Care Coordinators of Illinois PLLC

  • Interventional Pain Medicine Physician
  • Southfield, MI
National Provider Identifier
1831852029
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PMR CARE COORDINATORS OF ILLINOIS PLLC
Practice address
29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661
Phone
(616) 485-0584
Fax
(248) 934-1390
NPI assigned
Oct 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Arvinder Dhillon, MD
Title
President
Phone
(616) 485-0584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661

Mailing address

29877 Telegraph Rd Ste 400
Southfield, MI 48034-7661
Phone (616) 485-0584

National Provider Directory

National Provider Directory

Locations

640 N River Rd
Ste 106
Naperville, IL 60563
Phone (331) 472-4500

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1831852029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347661",
            "telephone_number": "616-485-0584",
            "fax_number": "248-934-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE 400",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347661",
            "telephone_number": "616-485-0584",
            "fax_number": "248-934-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMR CARE COORDINATORS OF ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "ARVINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-485-0584",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.