Organization Active NPI

Pain and Rehab Specialists of Greater Chicago, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Burr Ridge, IL
National Provider Identifier
1912280595
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
248000397 Issued in IL
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

Updated by the provider on Sep 21, 2011

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.