MILLENNIUM PAIN CENTER LLC NPI 1225196488

NPI Information

MILLENNIUM PAIN CENTER LLC is a pain clinic center in Bloomington, IL. MILLENNIUM PAIN CENTER LLC NPI is 1225196488. The provider is registered as an organization entity type.

The provider's business location address is:

2406 E EMPIRE ST
BLOOMINGTON, IL
ZIP 61704-630
Phone: (309) 662-4321

The provider's authorized official is Ramsin Benyamin .
The authorized official title is President and has the following contact phone number (309) 662-4321.

The CLIA number assigned to this NPI record is 14D2177392 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 6/25/2019.

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:

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