CHICAGO PAIN MEDICINE CENTER – NPI #1760089718
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

CHICAGO PAIN MEDICINE CENTER is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1760089718 to CHICAGO PAIN MEDICINE CENTER on October 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHICAGO PAIN MEDICINE CENTER below.

NPI Profile for
CHICAGO PAIN MEDICINE CENTER

NPI Number
1760089718
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHICAGO PAIN MEDICINE CENTER
Primary location
7531 S STONY ISLAND AVE
CHICAGO, IL 60649-3954
Phone: (773) 868-6824 Fax: (773) 868-6828
Mailing address
1044 N FRANCISCO AVE STE 404
CHICAGO, IL 60622-2743
Phone: (773) 868-6824 Fax:
Organization Subpart
No
Authorized Official
JAMES DIESFELD
PRESIDENT
Phone: (773) 868-6824
Updated
Certification Date
Oct 02, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHICAGO PAIN MEDICINE CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036086023
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.