Organization
JALAJA V PISKA,MD,LTD
Active
Other names
ADVANCED PAIN SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JALAJA VENUGOPAL PISKA M.D (PRESIDENT)
(815) 806-0400
Entity
Organization
Contact information
Practice address
10095 W LINCOLN HWY, FRANKFORT, IL 60423
(815) 806-0400
(815) 806-0406
Mailing address
10095 W LINCOLN HWY, FRANKFORT, IL 60423-1272
(815) 806-0400
(815) 806-0406
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200409690
—
IN
Enumeration date
05/28/2006
Last updated
07/31/2023
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