Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional Spine and Joint Specialists, LLC

Organization Electrodiagnostic Medicine Physician · NPI 1104387521

Interventional Spine and Joint Specialists, LLC is an Electrodiagnostic Medicine Physician in Munster, Indiana. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

701 Superior Ave Ste B
Munster, IN 46321-4038
Phone: (219) 333-4757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 24 Joliet St, Dyer, IN 46311-1705 — (219) 864-2237

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Electrodiagnostic Medicine Physician Taxonomy 204R00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X

Record details

NPI number1104387521
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prasanth Nuthakki — Ceo · (219) 836-0296
NPI enumeratedMarch 28, 2019
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing addressPo Box 3039, Munster, IN 46321-0039

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