Provider Demographics
NPI:1588034540
Name:CHICAGO PAIN ANESTHESIA S C
Entity Type:Organization
Organization Name:CHICAGO PAIN ANESTHESIA 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:D
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 STE 101
Mailing Address - Street 2:
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:708-393-4099
Practice Address - Street 1:665 W NORTH AVE STE 101
Practice Address - Street 2:
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:708-393-4099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-03
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty