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General NPI Number Information
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NPI Number | 1962295360
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Entity Type | Organization
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Legal Business Name | PAIN & SPINE INSTITUTE, LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 555 W COURT ST STE 100
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City | KANKAKEE
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State | IL
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Zip | 60901-3673
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Country | US
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Telephone | 815-729-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 744 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-4912
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZE OFFICIAL
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Name | JIGNESH PATEL
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Credential |
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Telephone | 815-729-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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