Organization
MIDWEST INNOVATIVE PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHER FATTOUH MD (OWNER)
(414) 455-1153
Entity
Organization
Contact information
Practice address
1100 JOLIET ST STE 101, DYER, IN 46311-1995
(219) 235-3148
Mailing address
PO BOX 31, DYER, IN 46311-0031
(219) 440-0135
(833) 523-9918
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
04/27/2026
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