Midwest Pain Management Associates, LTD.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

036070333 Issued in IL

Legal business name

MIDWEST PAIN MANAGEMENT ASSOCIATES, LTD.

Practice address

180 W Park Ave
Ste 260
Elmhurst, IL 60126-3357

Phone

(708) 569-1432

Fax

(844) 273-7876

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

John V. O'Hara, MD

Title

President

Phone

(708) 569-1432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1851459291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE",
            "address_2": "STE 260",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263357",
            "telephone_number": "708-569-1432",
            "fax_number": "844-273-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W PARK AVE",
            "address_2": "STE 260",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263357",
            "telephone_number": "708-569-1432",
            "fax_number": "844-273-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PAIN MANAGEMENT ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "O'HARA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-569-1432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036070333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Elmhurst, IL
• Providers in Elmhurst, 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 Feb 29, 2016; 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.