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CHICAGO PAIN MEDICINE CENTER
NPI 1124532593
Pain Medicine - Interventional Pain Medicine in Chicago, IL

Active since November 21, 2017
6307 S STEWART AVE STE 205, CHICAGO, IL 60621(773) 868-6824(773) 868-6828 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2020, May 14, 2019, Nov 22, 2017 (3 updates tracked since 2017).

About Chicago Pain Medicine Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHICAGO PAIN MEDICINE CENTER (NPI 1124532593) is a healthcare organization registered as an interventional pain medicine in Chicago, Illinois and active in the NPI registry since November 2017. The organization lists James R Diesfeld, President, as its authorized official.

NPPES Registry Identity

NPI1124532593
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCHICAGO PAIN MEDICINE CENTER
Location Address6307 S STEWART AVE STE 205Chicago, IL 60621-3116
Mailing Address1044 N Francisco Ave Ste 404Chicago, IL 60622-2743 · (773) 868-6824
Phone(773) 868-6824
Fax(773) 868-6828
Organization SubpartYes
Authorized OfficialJames R DiesfeldPresident · (773) 868-6824
Enumeration DateNovember 21, 2017
Last NPPES UpdateJuly 9, 20203 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1124532593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in IL · 036.086023
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
6307 S STEWART AVE STE 205, Chicago, IL 60621
Open in Google Maps ↗

Other Identifiers 2

Other01605512IL · Bcbs
Medicaid036008623IL

Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LASHAWNNA CHANEL JACKSON
Nurse Practitioner (Family)
6307 S STEWART AVE STE 205
CHICAGO, IL 60621
Cook County (773) 868-6824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chicago Pain Medicine Center's NPI number?

The NPI number for Chicago Pain Medicine Center is 1124532593. It was assigned to this organization in the NPPES registry on November 21, 2017.

Where is Chicago Pain Medicine Center located?

Chicago Pain Medicine Center is located at 6307 S Stewart Ave Ste 205, Chicago, IL 60621. The listed phone number is (773) 868-6824.

What is Chicago Pain Medicine Center's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Chicago Pain Medicine Center was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.