Provider Demographics
NPI:1467623090
Name:CHICAGOLAND ADVANCED PAIN SPECIALISTS,INC
Entity Type:Organization
Organization Name:CHICAGOLAND ADVANCED PAIN SPECIALISTS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTOINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-632-5612
Mailing Address - Street 1:700 E OGDEN AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5569
Mailing Address - Country:US
Mailing Address - Phone:708-632-5612
Mailing Address - Fax:708-632-5602
Practice Address - Street 1:700 E OGDEN AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559
Practice Address - Country:US
Practice Address - Phone:708-632-5612
Practice Address - Fax:708-632-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty