NPIMap

Organization Active NPI

Midwest Interventional Pain Solutions LLC

  • Pain Clinic/Center
  • Chicago Ridge, IL
National Provider Identifier
1922749563
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
MIDWEST INTERVENTIONAL PAIN SOLUTIONS LLC
Practice address
10258 Southwest Hwy Ste B
Chicago Ridge, IL 60415-1361
Phone
(800) 444-6110
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST INTERVENTIONAL PAIN SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Authorized official

Name
Yaw N Donkoh, MDNPI 1790978492
Title
Owner
Phone
(917) 549-7115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

10258 Southwest Hwy Ste B
Chicago Ridge, IL 60415-1361

Mailing address

PO Box 734968
Chicago, IL 60673-4968
Phone (800) 444-6110

National Provider Directory

National Provider Directory
Tax ID family
Midwest Interventional Pain2 organizations share this tax ID, including this one
Part of
Midwest Interventional Pain

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10258 Southwest Hwy
Ste B
Chicago Ridge, IL 60415
Phone (708) 571-3669

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1922749563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734968",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606734968",
            "telephone_number": "800-444-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10258 SOUTHWEST HWY STE B",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151361",
            "telephone_number": "800-444-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INTERVENTIONAL PAIN SOLUTIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDWEST INTERVENTIONAL PAIN SOLUTIONS LLC",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "DONKOH",
        "authorized_official_first_name": "YAW",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-549-7115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.