Active NPI
Pain and Rehab Specialists of Greater Chicago, LLC
- Pain Medicine (Anesthesiology) Physician
- Burr Ridge, IL
National Provider Identifier
1912280595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 248000397
- Legal business name
- PAIN AND REHAB SPECIALISTS OF GREATER CHICAGO, LLC
- Practice address
- 7055 High Grove Blvd
Burr Ridge, IL 60527 - Phone
- (630) 371-9980
- Fax
- (630) 371-9983
- NPI assigned
- Sep 21, 2011
- 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
- Dr. Scott Glaser, M.D.
- Title
- Owner
- Phone
- (630) 371-9980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 248000397 | IL | Primary |
Addresses
Primary practice location
7055 High Grove Blvd
Burr Ridge, IL 60527
Mailing address
7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-9980
National Provider Directory
National Provider DirectoryLocations
7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1912280595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7055 HIGH GROVE BLVD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-371-9980",
"fax_number": "630-371-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7055 HIGH GROVE BLVD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-371-9980",
"fax_number": "630-371-9983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND REHAB SPECIALISTS OF GREATER CHICAGO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "GLASER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-371-9980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "248000397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.