# MIDWEST INTERVENTIONAL PAIN SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Midwest Pain and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144739582
- **Authorized official:** YAW N DONKOH MD (OWNER)
- **Authorized official phone:** (917) 549-7115

## Contact information

- **Practice address:** 10258 SOUTHWEST HWY STE B, CHICAGO RIDGE, IL 60415-1361
- **Practice address phone:** (708) 571-3669
- **Practice address fax:** (708) 630-0575
- **Mailing address:** PO BOX 572, OAK LAWN, IL 60454-0572
- **Mailing address phone:** (800) 444-6110

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2017
- **Last updated:** 10/06/2022
