# CHICAGO SPINE AND VASCULAR INSTITUTE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376131391
- **Authorized official:** SHEEL PATEL (OWNER)
- **Authorized official phone:** (304) 615-8102

## Contact information

- **Practice address:** 1650 45TH ST STE 3, MUNSTER, IN 46321-3962
- **Practice address phone:** (219) 220-2021
- **Mailing address:** PO BOX 3120, MUNSTER, IN 46321-0120

## Taxonomy

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

## Other

- **Enumeration date:** 01/05/2021
- **Last updated:** 08/27/2021