Quality Pain Management LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036-095004 Issued in IL

Legal business name

QUALITY PAIN MANAGEMENT LLC

Practice address

8190 Cass Ave
Darien, IL 60561-5013

Phone

(630) 333-0501

Fax

(630) 541-6028

NPI assigned

Aug 17, 2011

Organization subpart

No

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

Authorized official

Name

Humaira Khatoon, M.D.

Title

Anesthesiologist & Pain Physician

Phone

(630) 930-2067

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445126400000",
    "number": "1972883387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 DUNMORE DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618453",
            "telephone_number": "630-930-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 CASS AVE",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605615013",
            "telephone_number": "630-333-0501",
            "fax_number": "630-541-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2015-10-18",
        "status": "A",
        "authorized_official_last_name": "KHATOON",
        "authorized_official_first_name": "HUMAIRA",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST & PAIN PHYSICIAN",
        "authorized_official_telephone_number": "630-930-2067",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-095004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Darien, IL
• Providers in Darien, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2015; 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.