Pain & Spine Sugical Suite

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

36113508 Issued in IL

Legal business name

PAIN & SPINE SUGICAL SUITE

Practice address

744 Essington Rd
Joliet, IL 60435-4912

Phone

(815) 834-7200

Fax

(815) 834-1307

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Molly Tobin

Title

A/R Rep

Phone

(815) 834-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1922417427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-834-7200",
            "fax_number": "815-834-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604354912",
            "telephone_number": "815-834-7200",
            "fax_number": "815-834-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & SPINE SUGICAL SUITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "A/R REP",
        "authorized_official_telephone_number": "815-834-7200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "36113508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heh Young Paik, MD
• John Paik, M.D.
• Syung Hyun Paik, MD
• Pain & Spine Institute Surgery Center LLC
• Pain & Spine Institute, LLC
• Elizabeth Palumbo, COTA
• Spiro Panagakis, M.D.
• Bakul K Pandya, MD
• Larry Luke Panozzo Jr., CCC-SLP
• Regina Mary Paolucci-Delsasso, DDS

• Clinic/Center in Joliet, IL
• Providers in Joliet, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.