MEDICARE: ADVANCED PAIN & ANESTHESIA CONSULTANTS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01628028	OTHER	IL	BCBSIL

General Provider Information

NPI Number	:	1457387078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED PAIN & ANESTHESIA CONSULTANTS, PC

Provider Business Mailing Address
First Line	:	11456 BROADWAY
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-7106
Country	:	US
Telephone Number	:	219-488-0156
Fax Number	:	219-661-1408

Provider Business Practice Location Address
First Line	:	11456 BROADWAY
Second Line	:
City	:	CROWN POINT
State	:	IN
Zip	:	46307-7106
Country	:	US
Telephone Number	:	219-488-0176
Fax Number	:	219-661-1408

Authorized Official
Title or Position	:	VP OPERATIONS
Name	:	JESSICA SCHLEMBACH
Credential	:
Telephone Number	:	850-494-0048

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	05/06/2026

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