Organization
CHIROPRACTIC, ORTHOPEDIC, AND PAIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY GUPTA MD (CEO AND PRESIDENT)
(219) 934-5300
Entity
Organization
Contact information
Practice address
315 W 89TH AVE, MERRILLVILLE, IN 46410-6254
(219) 757-5280
Mailing address
541 OTIS BOWEN DR, MUNSTER, IN 46321-4158
(219) 934-5300
(219) 934-5389
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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