# NORTHWEST INDIANA OCCUPATIONAL PAIN AND WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1518398882
- **Authorized official:** PAUL OKOLOCHA MD (OWNER)
- **Authorized official phone:** (219) 949-7540

## Contact information

- **Practice address:** 399 E 84TH DR, MERRILLVILLE, IN 46410-6484
- **Practice address phone:** (219) 949-7540
- **Mailing address:** 55 E 86TH AVE, ATTN DENISE Z, MERRILLVILLE, IN 46410-6382
- **Mailing address phone:** (219) 769-1670
- **Mailing address fax:** (219) 738-6714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | IN | Yes |

## Other

- **Enumeration date:** 12/11/2013
- **Last updated:** 12/12/2013