Organization
ELKHART CLINIC, LLC
Active
Parent organization
ELKHART CLINIC, LLC
Other names
Elkhart Clinic Pain Medicine Fir Rd
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELKHART CLINIC, LLC
Authorized official
MEGAN LEIGH CARLSON (CREDENTIALING)
(574) 296-3991
Entity
Organization
Contact information
Practice address
6915 N FIR RD, GRANGER, IN 46530-4754
(574) 296-3200
Mailing address
PO BOX 778985, CHICAGO, IL 60677-8985
(574) 296-3990
(574) 296-3392
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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