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is a Pain Medicine - Interventional Pain Medicine based in Chicago, Illinois. is licensed to practice in * (Not Available) (license number ) and their current practice location is 1925 E 95th St, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at (630) 571-1100.

NPI number for is 1699100859 and their current mailing address is Po Box 3307, Oak Brook, Illinois. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699100859.

Contact Information

1925 E 95th St,
Chicago, IL 60617
(630) 571-1100
(630) 504-6265

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityPain Medicine - Interventional Pain Medicine
Location1925 E 95th St, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699100859
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 07/12/2018

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699100859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Primary
225100000XPhysical Therapist (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 3307,
Oak Brook, IL 60522-3307

Ph: (630) 571-1100
1925 E 95th St,
Chicago, IL 60617

Ph: (630) 571-1100

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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