Illinois Regional Pain Institute, SC
Illinois Regional Pain Institute, SC provides Specialist services in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
5401 N Knoxville Ave Ste #416Peoria, IL 61614-5098 Not confirmed with CMS for 12 years — call before visiting
Phone: (309) 692-7246
Fax: (309) 692-7226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 036114669 (IL) |
|---|
Record details
| NPI number | 1952337453 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gayle Mucciante — Practice Administrator · (309) 692-7246 |
| NPI enumerated | June 25, 2006 |
| Last updated in NPPES | January 3, 2014 |
| Mailing address | 5401 N Knoxville Ave, Suite #416, Peoria, IL 61614-5098 |
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