# JALAJA V PISKA,MD,LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED PAIN SPECIALISTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073560546
- **Authorized official:** DR. JALAJA VENUGOPAL PISKA M.D (PRESIDENT)
- **Authorized official phone:** (815) 806-0400

## Contact information

- **Practice address:** 10095 W LINCOLN HWY, FRANKFORT, IL 60423
- **Practice address phone:** (815) 806-0400
- **Practice address fax:** (815) 806-0406
- **Mailing address:** 10095 W LINCOLN HWY, FRANKFORT, IL 60423-1272
- **Mailing address phone:** (815) 806-0400
- **Mailing address fax:** (815) 806-0406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 07/31/2023