Pain Specialists of Greater Chicago SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036082680 Issued in IL

Legal business name

PAIN SPECIALISTS OF GREATER CHICAGO SC

Practice address

7055 High Grove Blvd
Burr Ridge, IL 60527-7593

Phone

(630) 371-9980

Fax

(630) 371-9983

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Anne Glaser

Title

Controller

Phone

(630) 371-9980

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pain Specialists of Greater Chicago

  • Pain Medicine (Anesthesiology) Physician
  • Burr Ridge, IL
  • NPI 1740456565

  O20041026000380

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Hinsdale Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hinsdale, IL
  • NPI 1841234150

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Anderson

  • Nurse Practitioner
  • Burr Ridge, IL
  • NPI 1841760535
  Medicare reassignment Care Compare group NPD
• Julie Caley

  • Nurse Practitioner
  • Naperville, IL
  • NPI 1629439815
  Medicare reassignment Care Compare group NPD
• Sean W Powers, DO

  • Pain Medicine (Anesthesiology) Physician
  • Burr Ridge, IL
  • NPI 1881222735

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Michelle A Tucker, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1316657752
  Medicare reassignment Care Compare group NPD
• Scott E Glaser, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Burr Ridge, IL
  • NPI 1881691863
  Medicare reassignment Care Compare group
• Jennifer M Majchrowicz, PA-C

  • Physician Assistant
  • Burr Ridge, IL
  • NPI 1558862219
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1841214525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277593",
            "telephone_number": "630-371-9980",
            "fax_number": "630-371-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGH GROVE BLVD",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605277593",
            "telephone_number": "630-371-9980",
            "fax_number": "630-371-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SPECIALISTS OF GREATER CHICAGO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "630-371-9980"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036082680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "036078362",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Alisa Ortega, CCC-SLP
• Joanna Y Ortiz, MD
• Mina Kharot Paiman, MD
• Pain and Rehab Specialists of Greater Chicago, LLC
• Pain Specialists of Greater Chicago
• Emmanuel Paintsil
• Friedl H Pantle-Fisher, MD
• Tracey A. Papesh, LCSW
• Tamara Lynn Paradies, NP
• Paragon Clinical LLC

• Specialist in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.