Organization Active NPI

Immediate Pain Care of Oak Brook

  • Pain Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1871903302
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.