BROOKSIDE ADVANCED CLINIC FOR PAIN,INC.


Address: 21120 Washington Pkwy, Frankfort, IL 60423-3112
Phone: 8154699750

BROOKSIDE ADVANCED CLINIC FOR PAIN,INC. (NPI# 1730326687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730326687
Entity Type Organization
Organization Name BROOKSIDE ADVANCED CLINIC FOR PAIN,INC.
Practice Address 21120 Washington Pkwy
Frankfort
IL 60423-3112
Practice Telephone 8154699750
Practice Fax Number 8154699752
Mailing Telephone 8154699750
Mailing Fax Number 8154699752
Enumeration Date 2009-01-14
Last Update Date 2009-01-14
Authorized Official Name MR. DANIEL W BORVAN (PRESIDENT)
Authorized Official Telephone 8154699750
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
209003563 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 21120 WASHINGTON PKWY
City FRANKFORT
State IL
Zip Code 60423-3112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215996582 Lanny R. South Anesthesiology 21120 Washington Pkwy, Frankfort, IL 60423-3112 2006-03-23
1629402300 Omotayo Oranu Nurse Anesthetist, Certified Registered 21120 Washington Pkwy, Frankfort, IL 60423-3112 2013-08-29
1588908404 Bertrand D Chauff Nurse Anesthetist, Certified Registered 21120 Washington Pkwy, Frankfort, IL 60423-3112 2012-11-15
1114279700 Tiffany Richardson Nurse Anesthetist, Certified Registered 21120 Washington Pkwy, Frankfort, IL 60423-3112 2012-10-08
1427387695 Thomas Charles Correll Nurse Anesthetist, Certified Registered 21120 Washington Pkwy, Frankfort, IL 60423-3112 2009-12-16
1932248622 Windy City Anesthesia PC Anesthesiology 21120 Washington Pkwy, Frankfort, IL 60423-3112 2007-02-06
1407863798 Bradley N Katzmann Chiropractor 21120 Washington Pkwy, Frankfort, IL 60423-3112 2006-08-01
1669414900 Gregory P Bogdonoff Specialist 21120 Washington Pkwy, Frankfort, IL 60423-3112 2006-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316589542 Katherine Melissa Helm-lewis Psychologist Fox Valley Institute, 640 North River Road, Suite 108, Naperville, IL 60423 2019-10-09
1548819295 Edith Stemmer Technician 22921 Toscana Drive, Frankfort, IL 60423 2019-09-05
1063974343 Kailan Nicole Kathryn Paul Occupational Therapist 21000 S. Frankfort Square Road, Suite D, Frankfort, IL 60423 2019-04-04
1568928687 Sari Leonela Perez Behavior Technician 5419 W. 87th St., Oak Lawn, IL 60423 2019-02-13
1992210322 Personal Solutions Counseling, PC Counselor 20855 S. Lagrange Rd, Suite 202, Frankfort, IL 60423 2017-12-07
1255850038 Abrahim Alramhi Specialist/Technologist 7635 West Juniper Ct, Frankfort, IL 60423 2017-09-13
1982120051 Jakara Lynne Hubbard Counselor 20550 S Lagrange Rd Ste 105, Frankfort, IL 60423 2017-08-20
1922558345 Madison Gaffney Behavioral Analyst 2100 S Frankfort Sq Road, Suite D, Frankfort, IL 60423 2016-10-10
1972050094 Shannon Schaefer Occupational Therapist 21000 S. Frankfort Square Rd, Ste D, Frankfort, IL 60423 2016-09-07
1336515949 Anthony Joseph Vuckovich Chiropractor 9645 Lincolnway Ln Ste 112, Frankfort, IL 60423 2015-08-18
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902429509 Apollo Pain Center, LLC Anesthesiology 1458 S Jackson St, Frankfort, IN 46041-3315 2020-05-19
1609169945 Illinois Anesthesia and Pain Associates Sc Anesthesiology 11634 Quartz Ct, Frankfort, IL 60423-9028 2011-05-19
1427035815 Jalaja V. Piska Anesthesiology 10095 W Lincoln Hwy, Frankfort, IL 60423 2005-12-27
1073560546 Jalaja V Piska,md,ltd Anesthesiology 10095 W Lincoln Hwy, Frankfort, IL 60423 2006-05-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538775770 Regenerative Pain & Spine LLC Anesthesiology 2122 W Devon Ave, Chicago, IL 60659-3581 2020-09-22
1215552880 Babu Prasad, Md Anesthesiology 2035 W Iles Ave Ste A, Springfield, IL 62704-7000 2020-06-10
1093330516 Modern Pain Consultants Anesthesiology 1802 N Division St Ste 605, Morris, IL 60450-3133 2020-06-10
1255956777 Modern Pain Consultants Anesthesiology 1890 Silver Cross Blvd Ste 315, New Lenox, IL 60451-9605 2020-06-10
1144844036 Interventional Pain Medicine of Chicago Sc Anesthesiology 4433 W Touhy Ave Ste 235, Lincolnwood, IL 60712-1830 2020-06-05
1720627862 Mm Infusions LLC Anesthesiology 1605 S Michigan Ave Unit 1, Chicago, IL 60616-1209 2020-01-06
1538719778 Cpc Surgical Suite LLC Anesthesiology 555 W Court St Ste 100, Kankakee, IL 60901-3673 2019-09-19
1659854008 Rich Noren LLC Anesthesiology 9000 Waukegan Rd Ste 12, Morton Grove, IL 60053-2127 2018-09-12
1003336470 Vertex Anesthesia LLC Anesthesiology 10 Orland Square Dr # 10-c, Orland Park, IL 60462-3207 2017-06-26
1306386644 Advanced Pain and Anesthesia Consultants,pc Anesthesiology 5215 N California Ave Ste F715, Chicago, IL 60625-7014 2017-03-06
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Competitor

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City FRANKFORT
Zip Code 60423

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Dataset Information

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.

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