PAIN THERAPY ASSOCIATES LTD. (NPI# 1053425454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053425454 |
| Entity Type | Organization |
| Organization Name | PAIN THERAPY ASSOCIATES LTD. |
| Practice Address |
455 S Roselle Rd Ste 104 Schaumburg IL 60193-2971 |
| Mailing Address |
627 W. Oak Street Chicago IL 60610 |
| Practice Telephone | 8473525511 |
| Practice Fax Number | 8473525585 |
| Mailing Telephone | 8473525511 |
| Mailing Fax Number | 8473525585 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | WAJDE DABAH (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8473525511 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
455 S ROSELLE RD STE 104 |
| City | SCHAUMBURG |
| State | IL |
| Zip Code | 60193-2971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669455549 | Carey B Dachman Mdsc | Internal Medicine | 455 S Roselle Rd, #104, Schaumburg, IL 60193-2971 | 2005-11-23 |
| 1912518143 | Tracy Aneziris | Psychologist | 455 S Roselle Rd, Schaumburg, IL 60193-2971 | 2020-08-12 |
| 1518317320 | Northwest Suburban Pediatrics, S.c. | Pediatrics | 455 S Roselle Rd, Suite 209, Schaumburg, IL 60193-2971 | 2016-06-13 |
| 1831545995 | Subin M Jacob-george | Physician Assistant | 455 S Roselle Rd, 104, Schaumburg, IL 60193-2971 | 2016-05-09 |
| 1245584531 | Integrated Pain Therapy and Wellness Ltd | Physical Medicine & Rehabilitation | 455 S Roselle Rd, #104, Schaumburg, IL 60193-2971 | 2012-11-08 |
| 1720332455 | Andersontiernan, Inc | Non-Pharmacy Dispensing Site | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193-2971 | 2012-11-02 |
| 1447547211 | Northshore Integrative Healthcare | Psychologist | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2971 | 2011-06-30 |
| 1992091219 | Andersontiernan Inc | Podiatrist | 455 S Roselle Rd, Suite 100, Schaumburg, IL 60193-2971 | 2011-06-24 |
| 1194024984 | Wajde Dabah | Anesthesiology | 455 S Roselle Rd, Suite 104, Schaumburg, IL 60193-2919 | 2011-03-20 |
| 1255669297 | Rana Dabah Amer | Physician Assistant | 455 S Roselle Rd, Ste 104, Schaumburg, IL 60193-2971 | 2009-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1821516469 | Jill Leann Kissinger | Nurse Practitioner | 1227 Cranbrook Dr, Schaumburg, IL 60193 | 2017-09-05 |
| 1265981021 | Fresenius Medical Care Schaumburg, LLC | Clinic/Center | 815 W Wise Rd, Schaumburg, IL 60193 | 2016-09-22 |
| 1316323157 | Jasmine Said | Optometrist | 2834 Adams Ct., Schaumburg, IL 60193 | 2015-08-04 |
| 1215368287 | Daryl B. Wever Corp | Podiatrist | 455 S Roselle Rd Ste 101, Schaumburg, IL 60193 | 2013-12-02 |
| 1164764668 | Pediatric Healthlink, S.c. | Pediatrics | 455 S. Roselle Road, Suite 109, Schaumburg, IL 60193 | 2013-03-22 |
| 1407154602 | Physician Office | Internal Medicine | 321 South Barrington Road, Schaumburg, IL 60193 | 2011-03-11 |
| 1154552016 | Crystal Clear Eye Care Clinic | Preferred Provider Organization | 1760 Wise, Schaumberg, IL 60193 | 2009-07-27 |
| 1437304458 | Frank J. Honig | Dentist | 129 S. Roselle Rd., 201, Schaumburg, IL 60193 | 2008-11-18 |
| 1902059017 | Today's Family Dentistry | Dentist | 1752 W. Wise Rd., Schaunburg, IL 60193 | 2008-11-03 |
| Find all providers in zip 60193 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871954586 | Heidi Kimball | Specialist | 1800 Fairhaven Ln, Schaumburg, IL 60194-2645 | 2016-03-09 |
| 1528481645 | Jonathan Berens | Specialist | 1805 Vista Ct, Apt 202, Schaumburg, IL 60193-5055 | 2014-01-24 |
| 1992033203 | Jennifer Hennessey Anderson | Specialist | 407 Orleans Ln, Schaumburg, IL 60193-2544 | 2009-11-24 |
| 1861662298 | Stacy J Simek | Specialist | 324 Oak Meadow Ct, B1, Schaumburg, IL 60193-2276 | 2008-02-29 |
| 1326234576 | Shannon Lynn Olson | Specialist | 435 Selkirk Dr, Schaumburg, IL 60194-2745 | 2007-09-21 |
| 1710028428 | Illinois Spine Institute,s.c. | Specialist | 500 W Golf Rd, Suite 101, Schaumburg, IL 60195-3503 | 2007-02-08 |
| 1750422465 | Babak Lami | Specialist | 1990 E Algonquin Rd, Ste 160, Schaumburg, IL 60173-4173 | 2007-02-08 |
| 1124069513 | Batool H Musvi | Specialist | 1375 E Schaumburg Rd, Schaumburg, IL 60194-5166 | 2006-06-09 |
| 1548256506 | Chicago Gynecologic Oncology, S.c. | Specialist | 120 W Golf Rd, Suite 212, Schaumburg, IL 60195-5179 | 2005-09-26 |
| 1578103974 | Yuri Sergeyevich Kuklov | Specialist | 455 S Roselle Rd Ste 104, Schaumburg, IL 60193-2966 | 2020-01-14 |
| Find all providers in SCHAUMBURG | ||||
| City | SCHAUMBURG |
| Zip Code | 60193 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.