Provider Demographics
NPI:1306216403
Name:CHICAGO PAIN AND WELLNESS INSTITUTE S.C.
Entity Type:Organization
Organization Name:CHICAGO PAIN AND WELLNESS INSTITUTE S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BELMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:708-244-7246
Mailing Address - Street 1:665 W NORTH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-1134
Mailing Address - Country:US
Mailing Address - Phone:708-244-7246
Mailing Address - Fax:
Practice Address - Street 1:665 W NORTH AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-1134
Practice Address - Country:US
Practice Address - Phone:708-244-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain