Organization Active NPI

From Pain to Wellness, LLC

  • Clinical Medical Laboratory
  • Oakbrook Terrace, IL
National Provider Identifier
1962979567
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FROM PAIN TO WELLNESS, LLC
Practice address
1 Transam Plaza Dr Ste 110
Oakbrook Terrace, IL 60181-4820
Phone
(630) 627-4374
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Dr. James H Gruft, MDNPI 1417173865
Title
Ceo
Phone
(630) 862-6228

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
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1 Transam Plaza Dr Ste 110
Oakbrook Terrace, IL 60181-4820

Mailing address

1 Transam Plaza Dr Ste 100
Oakbrook Terrace, IL 60181-4286
Phone (630) 627-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181218003780 IL Part B Supplier - Independent Clinical Laboratory 4486721396 Practice locations: Oakbrook Terrace, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1 Transam Plaza Dr
Ste 110
Oakbrook Terrace, IL 60181
Phone (630) 627-4374

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1962979567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRANSAM PLAZA DR STE 100",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814286",
            "telephone_number": "630-627-7500",
            "fax_number": "630-627-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRANSAM PLAZA DR STE 110",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814820",
            "telephone_number": "630-627-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROM PAIN TO WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "GRUFT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-862-6228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.