TLC PAIN MANAGEMENT & SLEEP RESTORATION SC NPI 1003019779

Pain Medicine (Interventional Pain Medicine) in Rolling Meadows, IL

NPI 1003019779 Organization Pain Medicine Interventional Pain Medicine

About TLC PAIN MANAGEMENT & SLEEP RESTORATION SC

Tlc Pain Management & Sleep Restoration Sc is a provider established in Rolling Meadows, Illinois specializing in pain medicine (interventional pain medicine) . The NPI number of Tlc Pain Management & Sleep Restoration Sc is 1003019779 and was assigned on June 2007. The practitioner's primary taxonomy code is 208VP0014X with license number 036078457 (IL). The provider is registered as an organization and their NPI record was last updated 4 years ago. Tlc Pain Management & Sleep Restoration Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Wayne David Kelly Md (Owner)

NPI

1003019779

Provider NameTLC PAIN MANAGEMENT & SLEEP RESTORATION SC
Provider Location Address1883 HICKS RD STE A ROLLING MEADOWS, IL 60008
Provider Mailing Address1883 HICKS RD STE A ROLLING MEADOWS, IL 60008
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date06-08-2007
Last Update Date02-10-2018


Primary Taxonomy

Taxonomy Code208VP0014X
ClassificationPain Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInterventional Pain Medicine
License No.036078457
License StateIL
Taxonomy DescriptionInterventional 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.

Business Address

TLC PAIN MANAGEMENT & SLEEP RESTORATION SC
1883 HICKS RD
STE A
ROLLING MEADOWS, IL
ZIP 60008
Phone: (847) 359-9432
Fax: (888) 687-1245

Get Directions


Mailing Address

TLC PAIN MANAGEMENT & SLEEP RESTORATION SC
1883 HICKS RD
STE A
ROLLING MEADOWS, IL
ZIP 60008
Phone: (847) 359-9432
Fax: (888) 687-1245



Authorized Official

Authorized Official NameDR. WAYNE DAVID KELLY MD
Authorized Official TitleOWNER
Authorized Official Phone(847) 359-9432

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639315724OAKRIDGE DIAGNOSTICS,INC
Organization
Clinic/Center (Multi-Specialty)1883 HICKS RD C
ROLLING MEADOWS, IL 60008
(847) 401-7475
1164519005 WAYNE DAVID KELLY MD
Individual
Pain Medicine (Interventional Pain Medicine)1883 HICKS RD SUITE A
ROLLING MEADOWS, IL 60008
(847) 359-9432

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.