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  5. NORTHWEST SUBURBAN PAIN ASSOCIATES, LLC

NORTHWEST SUBURBAN PAIN ASSOCIATES, LLC

Company Details

Entity Name: NORTHWEST SUBURBAN PAIN ASSOCIATES, LLC
Jurisdiction: Illinois
Entity Type: Limited Liability Company
Status: Goodstanding
Date Formed: 02 May 2007
Company Number: LLC_02195526
File Number: 02195526
Type of Management: Manager Managed
Date Status Change: 02 May 2024
Address 1675 S. ARLINGTON HTS., ARLINGTON HEIGHTS, 60005, IL
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT 2011 208962459 2012-09-21 NORTHWEST SUBURBAN PAIN ASSOCIATES 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472550900
Plan sponsor’s address 880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address
Administrator’s EIN 208962459
Plan administrator’s name NORTHWEST SUBURBAN PAIN ASSOCIATES
Plan administrator’s address 880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472550900

Signature of
Role Plan administrator
Date 2012-09-21
Name of individual signing SAMEENA HUSSAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-09-21
Name of individual signing SAMEENA HUSSAIN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT 2010 208962459 2011-07-20 NORTHWEST SUBURBAN PAIN ASSOCIATES 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472550900
Plan sponsor’s address 880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address
Administrator’s EIN 208962459
Plan administrator’s name NORTHWEST SUBURBAN PAIN ASSOCIATES
Plan administrator’s address 880 W CENTRAL ST.,, SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472550900

Signature of
Role Plan administrator
Date 2011-07-20
Name of individual signing SAMEENA HUSSAIN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-20
Name of individual signing MOHAMMAD AHSAN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT 2009 208962459 2010-09-02 NORTHWEST SUBURBAN PAIN ASSOCIATES 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472550900
Plan sponsor’s address 880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address
Administrator’s EIN 208962459
Plan administrator’s name NORTHWEST SUBURBAN PAIN ASSOCIATES
Plan administrator’s address 880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472550900

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing SAMEENA HUSSAIN
Valid signature Filed with authorized/valid electronic signature
NORTHWEST SUBURBAN PAIN CENTER RETIREMENT 2009 208962459 2010-09-02 NORTHWEST SUBURBAN PAIN ASSOCIATES 0
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 8472550900
Plan sponsor’s address 880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005

Plan administrator’s name and address
Administrator’s EIN 208962459
Plan administrator’s name NORTHWEST SUBURBAN PAIN ASSOCIATES
Plan administrator’s address 880 W CENTRAL ST., SUITE 3600, ARLINGTON HEIGHTS, IL, 60005
Administrator’s telephone number 8472550900

Signature of
Role Plan administrator
Date 2010-09-02
Name of individual signing SAMEENA HUSSAIN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name and Address Role Appointment Date
MOHAMMAD AHSAN, 1675 S. ARLINGTON HTS. RD., ARLINGTON HEIGHTS, 60005, SANGAMON Agent 2020-06-19

Manager

Name and Address Role Appointment Date
AHSAN, MOHAMMAD M.D., 880 W CENTRAL ROAD, STE 3600, ARLINGTON HEIGHTS, IL, 60005 Manager 2024-05-02
BUKHALO, YURIY M.D., 880 W CENTRAL ROAD, STE 3600, ARLINGTON HEIGHTS, IL, 60005 Manager 2024-05-02

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
NORTHWEST SUBURBAN PAIN CENTER Assumed name 2019-11-05 2020-08-04 Involuntary cancellation No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 16 Jan 2025

Sources: Illinois Office of the Secretary of State

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