OrganizationActive
Elkhart Clinic, LLC
NPI 1689440893 · Pain Medicine (Psychiatry & Neurology) Physician · Granger, IN
Provider details
- NPI number
- 1689440893
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Elkhart Clinic, LLC
- Authorized official
- Megan Carlson, Credentialing
Mailing address
Po Box 778985
Chicago, IL 60677-8985
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.