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IOWA ILLINOIS PAIN CONSULTANTS PC NPI 1053787333


NPI Information

NPI: 1053787333
Provider Name: IOWA ILLINOIS PAIN CONSULTANTS PC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
600 N COLLEGE AVE
GENESEO, IL
ZIP 61254
Phone: (309) 944-6431
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IOWA ILLINOIS PAIN CONSULTANTS PC is a pain clinic center in Geneseo, IL. IOWA ILLINOIS PAIN CONSULTANTS PC NPI is 1053787333. The provider is registered as an organization entity type.

The provider's business location address is:

600 N COLLEGE AVE
GENESEO, IL
ZIP 61254-091
Phone: (309) 944-6431

The provider's authorized official is Timothy Miller .
The authorized official title is President and has the following contact phone number (563) 424-0512.

The enumeration date for this NPI number is 8/20/2015 and was last updated on 8/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPainYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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