Provider Demographics
NPI:1346807724
Name:COMPLETE PAIN MANAGEMENT LLC
Entity Type:Organization
Organization Name:COMPLETE PAIN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-782-8440
Mailing Address - Street 1:16310 S LINCOLN HWY STE 132
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-9100
Mailing Address - Country:US
Mailing Address - Phone:815-782-8440
Mailing Address - Fax:815-926-5305
Practice Address - Street 1:2764 AURORA AVE STE 124
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1007
Practice Address - Country:US
Practice Address - Phone:630-445-8189
Practice Address - Fax:888-445-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty