NPI 1033155080

Interventional Pain Management, LTD.

Organisation Specialist Saint John, IN

Practice location

Address: 10220 Wicker Ave Suite 3, Saint John, IN 46373-9424
Phone: (219) 515-6943
Mailing address: 18221 Torrence Ave Suite 1c, Lansing, IL 60438-2870

Authorised official

Name: Paul C Pollachek
Title: Administrator
Phone: (708) 474-7650

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 60548471 (IL)

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Registry record

NPI: 1033155080
Entity type: Organization
NPI issued: 20 Jun 2006
Record last updated: 19 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.