Organization
INTERVENTIONAL PAIN MANAGEMENT LLC
Active
Parent organization
INTERVENTIONAL PAIN MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONAL PAIN MANAGEMENT LLC
Authorized official
UJWALA S PURANIK (ADMINISTRATOR)
(630) 391-3994
Entity
Organization
Contact information
Practice address
208 LEGACY PLZ W, LA PORTE, IN 46350-5285
(219) 326-7246
(219) 326-7234
Mailing address
208 LEGACY PLZ W, LA PORTE, IN 46350-5285
(219) 326-7246
(219) 326-7234
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2013
Last updated
02/03/2025
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