Provider Demographics
NPI:1629966106
Name:ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
Entity type:Organization
Organization Name:ADVANCE PAIN & ANESTHESIA CONSULTANTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/O
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHLEMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-494-0048
Mailing Address - Street 1:425 JOLIET ST STE 400
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1768
Mailing Address - Country:US
Mailing Address - Phone:219-488-0154
Mailing Address - Fax:
Practice Address - Street 1:307 W JOHNSON RD STE C
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-1981
Practice Address - Country:US
Practice Address - Phone:547-251-0498
Practice Address - Fax:574-251-0068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies