Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chicago Pain Medicine Center

Organization Interventional Pain Medicine Physician · NPI 1124532593

Chicago Pain Medicine Center is an Interventional Pain Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

6307 S Stewart Ave Ste 205
Chicago, IL 60621-3116
Phone: (773) 868-6824
Fax: (773) 868-6828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 036.086023 (IL)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1124532593
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChicago Pain Medicine Center
Authorized official James Diesfeld — President · (773) 868-6824
NPI enumeratedNovember 21, 2017
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743

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