Emmanuel Paintsil

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036081269 Issued in IL

Practice address

230 Devon Dr
Burr Ridge, IL 60527-8315

Phone

(630) 734-0574

Fax

(630) 734-8321

NPI assigned

Mar 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1942277231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 DEVON DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278315",
            "telephone_number": "630-734-8298",
            "fax_number": "630-734-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 DEVON DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278315",
            "telephone_number": "630-734-0574",
            "fax_number": "630-734-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTSIL",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036081269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Y Ortiz, MD
• Mina Kharot Paiman, MD
• Pain and Rehab Specialists of Greater Chicago, LLC
• Pain Specialists of Greater Chicago
• Pain Specialists of Greater Chicago SC
• Friedl H Pantle-Fisher, MD
• Tracey A. Papesh, LCSW
• Tamara Lynn Paradies, NP
• Paragon Clinical LLC
• Jesse K Park, MD

• Geriatric Medicine (Internal Medicine) Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.