Organization Active NPI

United Pain Services SC

  • Pain Medicine Physician
  • Hazel Crest, IL
National Provider Identifier
1932159191
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
042.618283 Issued in IL
Legal business name
UNITED PAIN SERVICES SC
Practice address
3330 W 177TH St
Hazel Crest, IL 60429-2001
Phone
(708) 799-1256
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Volodimir Z Markiv, MD
Title
Owner
Phone
(815) 834-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 042.618283 IL Primary

Addresses

Primary practice location

3330 W 177TH St
Hazel Crest, IL 60429-2001

Mailing address

PO Box 129
Plainfield, IL 60544-0129

Other identifiers 1

IdentifierTypeStateIssuer
0002232386OtherILBC BS

National Provider Directory

National Provider Directory

Locations

3330 W 177th St
Fl 2
Hazel Crest, IL 60429
Phone (708) 249-8346

3330 W 177th St
Hazel Crest, IL 60429
Phone (708) 249-8347

28 E Burlington St
Riverside, IL 60546
Phone (708) 788-3447

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1932159191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605440129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292001",
            "telephone_number": "708-799-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PAIN SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "MARKIV",
        "authorized_official_first_name": "VOLODIMIR",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-834-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "IL",
            "license": "042.618283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0002232386",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.