Organization
INTERVENTIONAL PAIN MANAGEMENT, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL C POLLACHEK RN (ADMINISTRATOR)
(708) 474-7650
Entity
Organization
Contact information
Practice address
10220 WICKER AVE, SUITE 3, SAINT JOHN, IN 46373-9424
(219) 515-6943
Mailing address
18221 TORRENCE AVE, SUITE 1C, LANSING, IL 60438-2870
(708) 895-9450
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60548471
IL
Other
Enumeration date
06/20/2006
Last updated
01/19/2016
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