NPIMap

Organization Active NPI

Pain Specialists of Greater Chicago S C

  • Interventional Pain Medicine Physician
  • Orland Park, IL
National Provider Identifier
1922588110
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN SPECIALISTS OF GREATER CHICAGO S C
Practice address
15300 West Ave Ste C213
Orland Park, IL 60462
Phone
(630) 371-9980
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Mr. Evans Castor
Title
Coo
Phone
(630) 371-9980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

15300 West Ave Ste C213
Orland Park, IL 60462

Mailing address

15300 West Ave Ste C213
Orland Park, IL 60462-4600
Phone (630) 371-9980

National Provider Directory

National Provider Directory

Locations

601 W Randolph St
Chicago, IL 60661
Phone (312) 258-9100

900 N Michigan Ave
Chicago, IL 60611
Phone (312) 440-5127

15300 West Ave
Ste C213
Orland Park, IL 60462

7460 W College Dr
Fl 2
Palos Heights, IL 60463
Phone (630) 359-6888

Practitioners & affiliated clinicians

Practitioners 7

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": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1922588110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE C213",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624600",
            "telephone_number": "630-371-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 WEST AVE STE C213",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "60462",
            "telephone_number": "630-371-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SPECIALISTS OF GREATER CHICAGO S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "CASTOR",
        "authorized_official_first_name": "EVANS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-371-9980",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.