Provider Demographics
NPI:1275970717
Name:PINNACLE INTERVENTIONAL PAIN ASSOCIATES, SC
Entity Type:Organization
Organization Name:PINNACLE INTERVENTIONAL PAIN ASSOCIATES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NEERAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:JAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-794-9999
Mailing Address - Street 1:908 N ELM ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3635
Mailing Address - Country:US
Mailing Address - Phone:630-794-9999
Mailing Address - Fax:630-794-9998
Practice Address - Street 1:908 N ELM ST
Practice Address - Street 2:SUITE 301
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3635
Practice Address - Country:US
Practice Address - Phone:630-794-9999
Practice Address - Fax:630-794-9998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical