| University Pain Physicians Llc | |
|
1653 W Congress Pkwy # 735 Jelke Anesthesia Dept Chicago IL 60612-3833 | |
| (312) 942-3138 | |
| (312) 942-5773 |
| Full Name | University Pain Physicians Llc |
|---|---|
| Speciality | Pain Medicine |
| Location | 1653 W Congress Pkwy # 735, Chicago, Illinois |
| Authorized Official Name and Position | Kenneth Tuman (PRESIDENT) |
| Authorized Official Contact | 2248806563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Pain Physicians Llc 1653 W Congress Pkwy Chicago IL 60612-3833 Ph: (312) 342-3138 | University Pain Physicians Llc 1653 W Congress Pkwy # 735 Jelke Anesthesia Dept Chicago IL 60612-3833 Ph: (312) 942-3138 |
| NPI Number | 1518355239 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 08/04/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 3274851944 |
|---|---|
| Medicare Enrollment ID | O20150408001948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518355239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (Illinois) | Primary |
| Provider Name | Santhanam Suresh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801823976 PECOS PAC ID: 0345397121 Enrollment ID: I20090414000228 |
| Provider Name | Asokumar Buvanendran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598781676 PECOS PAC ID: 0547385007 Enrollment ID: I20100921000721 |
| Provider Name | Timothy R Lubenow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922024470 PECOS PAC ID: 3779471669 Enrollment ID: I20101022001342 |
| Provider Name | Matthew P Jaycox |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1326204199 PECOS PAC ID: 9739373028 Enrollment ID: I20101101000294 |
| Provider Name | Sandeep D Amin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1184792251 PECOS PAC ID: 7810182656 Enrollment ID: I20101105001328 |
| Provider Name | Tolga H Suvar |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1861887291 PECOS PAC ID: 4880900125 Enrollment ID: I20200804001961 |
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