Active NPI
Immediate Pain Care of Oak Brook
- Pain Medicine Physician
- Oak Brook, IL
National Provider Identifier
1871903302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- IMMEDIATE PAIN CARE OF OAK BROOK
- Practice address
- 2210 Camden CT
Oak Brook, IL 60523-1272 - Phone
- (630) 560-4301
- NPI assigned
- May 6, 2014
- Last updated
- May 6, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Bernsen
- Title
- Ceo
- Phone
- (630) 560-4301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Pain Medicine Physician | 208VP0000X | NU | Primary |
Addresses
Primary practice location
2210 Camden CT
Oak Brook, IL 60523-1272
Mailing address
7641 Solutions Ctr
Chicago, IL 60677-0001
Phone (630) 560-4301
National Provider Directory
National Provider DirectoryLocations
7641 Solutions Ctr
Chicago, IL 60677
2210 Camden Ct
Oak Brook, IL 60523
Phone (630) 468-1820
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Palatine, IL
- NPI 1003103938
-
- Chiropractor
- Oak Brook, IL
- NPI 1740611268
-
- Chiropractor
- Oak Brook, IL
- NPI 1154743524
-
- Chiropractor
- Oak Brook, IL
- NPI 1770530453
-
- Chiropractor
- Oak Brook, IL
- NPI 1962706234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399334400000",
"number": "1871903302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7641 SOLUTIONS CTR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606770001",
"telephone_number": "630-560-4301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 CAMDEN CT",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231272",
"telephone_number": "630-560-4301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE PAIN CARE OF OAK BROOK",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A",
"authorized_official_last_name": "BERNSEN",
"authorized_official_first_name": "STUART",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "630-560-4301"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.