Graduated: 2019
NPI: 1629614771
Practice Locations (2)
ILLINOIS CENTER FOR PAIN CONTROL LLC
10176 W 400, SUITE B
MICHIGAN CITY, IN 463609009
ILLINOIS CENTER FOR PAIN CONTROL LLC
10176 W 400 N B, THE VANGUARD MEDICAL GROUP
MICHIGAN CITY, IN 463609009
2193012633
Source: CMS National Downloadable File, September 2026.