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Organization

INDIANA PAIN CENTERS-EVANSVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD KOWLOWITZ MD (OWNER)
(317) 706-7246
Entity
Organization

Contact information

Practice address
4411 WASHINGTON AVE STE 100, EVANSVILLE, IN 47714-0805
(317) 706-7246
(317) 706-3417
Mailing address
PO BOX 735429, CHICAGO, IL 60673-5429
(317) 706-7246
(317) 706-3417

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300060100
IN
Enumeration date
01/23/2018
Last updated
10/30/2025
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