Northwest Indiana Pain Services

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

01060042A Issued in IN

Legal business name

NORTHWEST INDIANA PAIN SERVICES

Practice address

110 Ridge Rd
Suite # 3
Munster, IN 46321-1574

Phone

(630) 887-9204

NPI assigned

Aug 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suneela Harsoor, MD CIME

Title

President

Phone

(630) 887-9204

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1356573778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3307",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605223307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RIDGE RD",
            "address_2": "SUITE # 3",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211574",
            "telephone_number": "630-887-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INDIANA PAIN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "HARSOOR",
        "authorized_official_first_name": "SUNEELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-887-9204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD CIME"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IN",
            "license": "01060042A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Indiana Ear Nose Throat & Sinus Center Inc
• Northwest Indiana Eye Associates, PC
• Northwest Indiana Medical Associates, LLC
• Northwest Indiana Neurological Associates, PC
• Northwest Indiana Neurological Associates, PC
• Northwest Indiana Pathology Consultants PC
• Northwest Indiana Podiatry Clinic, LLC
• Northwest Indiana Rehabilitation Services, Inc.
• Northwest Medical Weight Loss LLC
• Northwestern Imaging, LLC

• Pain Medicine (Anesthesiology) Physician in Munster, IN
• Providers in Munster, IN by specialty
• Pain Medicine (Anesthesiology) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.