Organization
PAIN & SPINE INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR SHARMA M.D. (MEMBER)
(312) 961-2045
Entity
Organization
Contact information
Practice address
744 ESSINGTON RD, JOLIET, IL 60435-4912
(815) 729-0700
(815) 729-0707
Mailing address
744 ESSINGTON ROAD, JOLIET, IL 60435-0000
(815) 729-0700
(815) 729-0707
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
36-113508
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113508
—
IL
05
—
036116060
—
IL
01
—
09932517
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/04/2007
Last updated
10/23/2025
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