Organization Active NPI

Dupage Pain Consultants, LLC

  • Specialist
  • Naperville, IL
National Provider Identifier
1902956469
Registry record updated Sep 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DUPAGE PAIN CONSULTANTS, LLC
Practice address
1971 Gowdey Rd
Ste. 103
Naperville, IL 60563-4232
Phone
(630) 778-7300
Fax
(630) 778-7117
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2012

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

Authorized official

Name
Dr. James M Kelly, M.D.
Title
Medical Director
Phone
(630) 778-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1971 Gowdey Rd
Ste. 103
Naperville, IL 60563-4232

Mailing address

1971 Gowdey Rd
Ste. 103
Naperville, IL 60563-4232
Phone (630) 778-7300

National Provider Directory

National Provider Directory

Locations

Dept 4422
Carol Stream, IL 60122

1971 Gowdey Rd
Ste 103
Naperville, IL 60563
Phone (630) 778-7300

475 E Diehl Rd
Naperville, IL 60563
Phone (630) 505-1200

1263 Rickert Dr
Naperville, IL 60540
Phone (630) 305-3300

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348272000000",
    "number": "1902956469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 GOWDEY RD",
            "address_2": "STE. 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634232",
            "telephone_number": "630-778-7300",
            "fax_number": "630-778-7117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 GOWDEY RD",
            "address_2": "STE. 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605634232",
            "telephone_number": "630-778-7300",
            "fax_number": "630-778-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE PAIN CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-09-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-778-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; 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.