Organization Active NPI

Midwest Pain Centers LLC

  • Interventional Pain Medicine Physician
  • Joliet, IL
National Provider Identifier
1972367936
Registry record updated Feb 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MIDWEST PAIN CENTERS LLC
Practice address
301 Madison St Ste 305
Joliet, IL 60435-6655
Phone
(815) 729-0450
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2025

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

Authorized official

Name
Ammar Wahood, MDNPI 1720375611
Title
Partner
Phone
(815) 729-0450

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

301 Madison St Ste 305
Joliet, IL 60435-6655

Mailing address

301 Madison St Ste 305
Joliet, IL 60435-6655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604001008 IL Part B Supplier - Clinic/Group Practice 5092257238 Receives reassigned benefits from 3 practitioners
Practice locations: Joliet, IL

National Provider Directory

National Provider Directory

Locations

301 Madison St
Ste 305
Joliet, IL 60435
Phone 81572571333064

Practitioners & affiliated clinicians

Practitioners 3

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": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739664000000",
    "number": "1972367936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 305",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MADISON ST STE 305",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356655",
            "telephone_number": "815-729-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PAIN CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2025-02-16",
        "certification_date": "2025-02-16",
        "status": "A",
        "authorized_official_last_name": "WAHOOD",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "815-729-0450",
        "authorized_official_credential": "MD"
    },
    "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 Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2025; 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.