Organization
ADVANCED PAIN CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAISAL M. RAHMAN PH.D. (CEO)
(219) 865-3819
Entity
Organization
Contact information
Practice address
5355 COMMERCE DR, CROWN POINT, IN 46307-5325
(219) 756-0600
Mailing address
13 W US HIGHWAY 30, SUITE 202, SCHERERVILLE, IN 46375-2266
(219) 865-3819
(219) 865-5401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098212
BCBS
IL
05
—
2002497209
—
IN
Enumeration date
06/23/2006
Last updated
12/06/2007
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