PAIN & SPINE INSTITUTE, LLC – Pain Medicine (Anesthesiology) Physician, NPI 1578610176
Pain Medicine (Anesthesiology) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PAIN & SPINE INSTITUTE, LLC
12 Salt Creek Ln Ste 350
Hinsdale, IL 605218612
Phone: (815) 729-0700
Type: Location
329 Remington Blvd Ste 205
Bolingbrook, IL 604405817
Phone: (815) 729-0700
Type: Location
555 W Court St Ste 100
Kankakee, IL 609013673
Phone: (888) 362-7472
Type: Location
1971 Gowdey Rd
Naperville, IL 605634232
Phone: (888) 362-7472
Type: Location
3551 Highland Ave Ste 200A
Downers Grove, IL 605152100
Phone: (815) 729-0700
Type: Location
744, Essington Road, Joliet, Troy Township, Will County, Illinois, 60435, United States
JOLIET, IL 604350000
Phone: (815) 729-0700
Fax: (815) 729-0707
Type: Mailing
744, Essington Road, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604354912
Phone: (815) 729-0700
Fax: (815) 729-0707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (112 days away).
Enrollment records
2
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070213000166 | O | Clinic/Group Practice | IL | 2026-09-30 |
| O20100930018369 | O | Multi-Specialty - Physician | IL | TBD |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60521)
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