Pain Care Center PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

36101753 Issued in IL

Legal business name

PAIN CARE CENTER PC

Practice address

350 N Wall Street
Kankakee, IL 60901

Phone

(815) 936-7246

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Jasmine Maly, MD

Title

President

Phone

(800) 444-6110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1861436099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609140623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WALL STREET",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "60901",
            "telephone_number": "815-936-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CARE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "MALY",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-444-6110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "36101753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Hope United Norther Regn
• Optech Orthotics & Prosthetics Corp
• Optech Orthotics & Prosthetics Services, LTD
• Andrew Noel Pacheco
• Pain & Spine Institute, LLC
• Dana Leona Palermo, LCPC
• Neelie Michelle Panozzo, NP-C
• Elaine Marie Papineau, APN CNS
• Asmita Patel
• Dhruv Patel, DO

• Pain Medicine (Anesthesiology) Physician in Kankakee, IL
• Providers in Kankakee, 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 Oct 29, 2007; 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.