HEGEWISCH SPINE PAIN CENTER LLC
NPI 1437519410
Exclusive Provider Organization in Berwyn, IL

NPI Status: Active since March 03, 2016

Contact Information

6626 W CERMAK RD
BERWYN, IL
ZIP 60402
Phone: (708) 788-7246

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  • Organization
  • Exclusive Provider Organization

About HEGEWISCH SPINE PAIN CENTER LLC

This page provides the complete NPI Profile along with additional information for Hegewisch Spine Pain Center Llc, a provider established in Berwyn, Illinois operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1437519410 assigned on March 2016. The practitioner's primary taxonomy code is 302F00000X with license number 036108759 (IL). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Natalya Smirnova (Office Manager)

NPI
1437519410
Provider Name
HEGEWISCH SPINE PAIN CENTER LLC
Entity Type
Organization
Location Address
6626 W CERMAK RD BERWYN, IL 60402
Location Phone
(708) 788-7246
Mailing Address
7653 W MONTROSE AVE NORRIDGE, IL 60706
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2016
Last Update Date
03-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
036108759
License State
IL
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NATALYA SMIRNOVA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(708) 788-7246

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437519410
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24671011842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 0 + 1 + 1 + 8 + 4 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1437519410 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760436786DR. OSSAMA FOUAD ABDELLATIF MD
Individual
Anesthesiology6626 W CERMAK RD
BERWYN, IL 60402
(708) 788-7246
1922175231CHICAGOLAND ADVANCED PAIN & HEADACHE CLINICS, LTD
Organization
Pain Medicine (Pain Medicine)6626 W CERMAK RD
BERWYN, IL 60402
(708) 788-7246
1689682858CHICAGOLAND ADVANCED PAIN AND HEADACHE CLINICS LTD
Organization
Anesthesiology (Pain Medicine)6626 W CERMAK RD
BERWYN, IL 60402
(708) 788-7246

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437519410, enumerated in the NPI registry as an "organization" on March 03, 2016

The provider is located at 6626 W Cermak Rd Berwyn, Il 60402 and the phone number is (708) 788-7246

This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X

This NPI record was last updated on March 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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