Provider Demographics
NPI:1629481940
Name:UNITED PAIN CONSULTANTS LLC
Entity Type:Organization
Organization Name:UNITED PAIN CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TIPIRNENI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-512-3947
Mailing Address - Street 1:1707 W SURF ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6198
Mailing Address - Country:US
Mailing Address - Phone:773-512-3947
Mailing Address - Fax:
Practice Address - Street 1:6323 N AVONDALE AVE
Practice Address - Street 2:SUITE B-101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-1962
Practice Address - Country:US
Practice Address - Phone:773-512-3947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036118887208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty