INTERVENTIONAL PAIN CONSULTANTS LLC NPI 1225522063

NPI Information

  • NPI: 1225522063
  • Provider Name: INTERVENTIONAL PAIN CONSULTANTS LLC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 14D1063745
  • Address: 3 PROFESSIONAL DR STE B
    ALTON, IL
    ZIP 62002
  • Phone: (618) 465-7177

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NPI Details

INTERVENTIONAL PAIN CONSULTANTS LLC is an interventional pain medicine pain medicine in Alton, IL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. INTERVENTIONAL PAIN CONSULTANTS LLC NPI is 1225522063. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3 PROFESSIONAL DR STE B
ALTON, IL
ZIP 62002-067
Phone: (618) 465-7177
Fax: (618) 465-7176

The provider's authorized official is Wynndel Buenger .
The authorized official title is Medical Director and has the following contact phone number (618) 465-7177.

The CLIA number assigned to this NPI record is 14D1063745 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2018 and was last updated on 1/21/2020.

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
1207LP2900XAnesthesiologyPain MedicineNo
2208VP0014XPain MedicineInterventional Pain MedicineYes
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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: 11/21/2025

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