THE HEADACHE LAB
NPI 1801782057
General Practice in Evergreen Park, IL

Active since June 16, 2025
9760 S KEDZIE AVE STE 2, EVERGREEN PARK, IL 60805(708) 942-6869 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2025, Jun 16, 2025 (2 updates tracked since 2025).

About The Headache Lab NPPES

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

THE HEADACHE LAB (NPI 1801782057) is a healthcare organization registered as a general practice in Evergreen Park, Illinois and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Westmont and lists George Thomas, Owner, as its authorized official.

NPPES Registry Identity

NPI1801782057
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHE HEADACHE LAB
Location Address9760 S KEDZIE AVE STE 2Evergreen Park, IL 60805-3182
Mailing Address9760 S Kedzie Ave Ste 2Evergreen Park, IL 60805-3182 · (708) 942-6869
Organization SubpartYesParent: Park Primary Care Ltd
Authorized OfficialGeorge ThomasOwner · (630) 697-8620
Enumeration DateJune 16, 2025
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1801782057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
9760 S KEDZIE AVE STE 2, Evergreen Park, IL 60805

Other Names 1

Doing Business AsThe Headache Lab

Secondary Practice Location 1

Location 16321 Fairview Ave Ste BWestmont, IL 60559-2886 · Phone (708) 942-6869 · Fax (708) 423-8152

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Headache Lab is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to The Headache Lab, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1437942448
9760 S KEDZIE AVE STE 3
Evergreen Park, IL 60805
(708) 423-6209
✔ PECOSSame address
Family Practice
NPI 1841587334
9760 S KEDZIE AVE STE 2
Evergreen Park, IL 60805
(708) 423-8150
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1306836663
9760 S KEDZIE AVE SUITE 2
Evergreen Park, IL 60805
(708) 423-6209
✔ PECOSSame address
Family Practice
NPI 1073746046
9760 S KEDZIE AVE SUITE 2
Evergreen Park, IL 60805
(708) 423-8150
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609815414
2623 N HALSTED ST
Chicago, IL 60614
(773) 929-7410
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Headache Lab's NPI number?

The NPI number for The Headache Lab is 1801782057. It was assigned to this organization in the NPPES registry on June 16, 2025.

Where is The Headache Lab located?

The Headache Lab is located at 9760 S Kedzie Ave Ste 2, Evergreen Park, IL 60805. The listed phone number is (708) 942-6869.

What is The Headache Lab's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is The Headache Lab enrolled in Medicare?

Yes. The Headache Lab is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Headache Lab?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to The Headache Lab. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3), Internal Medicine (1) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Headache Lab was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.