MEDICARE: ARMV SHIVA MEDICAL CORPORATION

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	208VP0014X	Interventional Pain Medicine Physician

General Provider Information

NPI Number	:	1629876651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARMV SHIVA MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	4735 LILAC AVE
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-1420
Country	:	US
Telephone Number	:	773-317-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	4149 W 26TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60623-4314
Country	:	US
Telephone Number	:	773-542-1111
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MANISH M PANDYA
Credential	:	DC
Telephone Number	:	773-317-8888

Provider Enumeration Date	:	03/05/2025
Last Update Date	:	03/05/2025

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Directions to “ARMV SHIVA MEDICAL CORPORATION ” Practice Location

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