Healthcare Provider Details

I. General information

NPI: 1275970717
Provider Name (Legal Business Name): PINNACLE INTERVENTIONAL PAIN ASSOCIATES, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2013
Last Update Date: 07/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 N ELM ST SUITE 301
HINSDALE IL
60521-3635
US

IV. Provider business mailing address

908 N ELM ST SUITE 301
HINSDALE IL
60521-3635
US

V. Phone/Fax

Practice location:
  • Phone: 630-794-9999
  • Fax: 630-794-9998
Mailing address:
  • Phone: 630-794-9999
  • Fax: 630-794-9998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. NEERAJ JAIN
Title or Position: CEO
Credential: MD
Phone: 630-794-9999