Provider Demographics
NPI:1699985895
Name:CHICAGO MEDICAL AND PAIN ASSOCIATES LTD.
Entity type:Organization
Organization Name:CHICAGO MEDICAL AND PAIN ASSOCIATES LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:773-358-8600
Mailing Address - Street 1:5614 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60629-4420
Mailing Address - Country:US
Mailing Address - Phone:773-585-5900
Mailing Address - Fax:773-585-5980
Practice Address - Street 1:47 W NEW YORK ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4120
Practice Address - Country:US
Practice Address - Phone:630-892-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010852111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty