Healthcare Provider Details

I. General information

NPI: 1760313902
Provider Name (Legal Business Name): ELITE PAIN & SPINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 W WOLF POINT PLZ UNIT 1505
CHICAGO IL
60654-0103
US

IV. Provider business mailing address

343 W WOLF POINT PLZ UNIT 1505
CHICAGO IL
60654-0103
US

V. Phone/Fax

Practice location:
  • Phone: 408-394-0283
  • Fax:
Mailing address:
  • Phone: 408-394-0283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AKASH JINDAL
Title or Position: OWNER
Credential: DO
Phone: 408-394-0283