Pain & Spine Institute, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PAIN & SPINE INSTITUTE, LLC

Practice address

329 Remington Blvd Ste 205
Bolingbrook, IL 60440-5817

Phone

(815) 729-0707

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Jignesh Patel

Title

Admin

Phone

(815) 729-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pain & Spine Institute, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Joliet, IL
  • NPI 1578610176

  7618979170

  Same PAC ID

Tax ID family

Pain Spine Institute LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pain & Spine Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hinsdale, IL
  • NPI 1871386276
  NPD tax ID
• Pain & Spine Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Kankakee, IL
  • NPI 1962295360
  NPD tax ID

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1851199277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD STE 205",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 REMINGTON BLVD STE 205",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405817",
            "telephone_number": "815-729-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & SPINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "815-729-0700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjum S Owaisi, M.D.
• Tayfun M Ozgen, MD
• Jameson T Pagano, LCPC
• Eleanor Pagulayan, SA-C, RSA
• Charles Chulseung Paik, MD
• Riddhi Pakrasi, M.D.
• Jenna Rose Palafox, RN
• Candace Palmer, M.S. CCC-SLP
• Christian Joy Lazaro Pangan
• Jason Panick, DPT

• Durable Medical Equipment & Medical Supplies in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.