Provider Demographics
NPI:1477738227
Name:FROM PAIN TO WELLNESS, LLC
Entity Type:Organization
Organization Name:FROM PAIN TO WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:GRUFT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-627-7500
Mailing Address - Street 1:1 TRANSAM PLAZA DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4822
Mailing Address - Country:US
Mailing Address - Phone:630-627-7500
Mailing Address - Fax:630-627-7502
Practice Address - Street 1:1 TRANSAM PLAZA DR
Practice Address - Street 2:SUITE 100
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4822
Practice Address - Country:US
Practice Address - Phone:630-627-7500
Practice Address - Fax:630-627-7502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036080153OtherLICENSE NUMBER
IL216992Medicare UPIN