# JCB ANESTHESIA & PAIN MANAGEMENT, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comprehensive Pain Clinic and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053327874
- **Authorized official:** DR. JULIE YIA-PEI CHAO MD (PRESIDENT)
- **Authorized official phone:** (260) 312-2489

## Contact information

- **Practice address:** 600 EAST BLVD, ELKHART, IN 46514-2483
- **Practice address phone:** (574) 523-3103
- **Mailing address:** PO BOX 700908, DALLAS, TX 75370-0908
- **Mailing address phone:** (972) 212-5858
- **Mailing address fax:** (214) 291-5635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 50003982A | IN | — |
| 208VP0000X | Pain Medicine Physician | 50003982A | IN | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 09/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100376480B | — | IN |
| 05 | — | 201012780A | — | IN |
| 01 | — | DR2350 | RAILROAD MEDICARE | IN |