Organization
VIGILANCE ANESTHESIOLOGISTS & PAIN SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JOSEPH POLLACHEK (PRESIDENT)
(708) 805-8900
Entity
Organization
Contact information
Practice address
5363 COMMERCE BLVD STE 100, CROWN POINT, IN 46307-5325
(219) 678-2037
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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