Provider Demographics
NPI:1376716068
Name:CHICAGO MEDICAL & PAIN ASSOCIATES LTD
Entity Type:Organization
Organization Name:CHICAGO MEDICAL & PAIN ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-214-8901
Mailing Address - Street 1:35 CLOCK TOWER PLZ
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60120-7800
Mailing Address - Country:US
Mailing Address - Phone:847-214-8901
Mailing Address - Fax:
Practice Address - Street 1:35 CLOCK TOWER PLZ
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-7800
Practice Address - Country:US
Practice Address - Phone:847-214-8901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty