Organization
INTERVENTIONAL PAIN CONSULTANTS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER A POLK (AUTHORIZED REPRESENTATIVE)
(708) 228-2615
Entity
Organization
Contact information
Practice address
1919 MIDWEST RD, STE 201, OAK BROOK, IL 60523-1365
(708) 228-2615
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/12/2006
Last updated
08/22/2020
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