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Great River Pain Clinic Llc
Pain Clinic/Center in Galesburg, Illinois
NPI 1134597636

Great River Pain Clinic Llc is a Pain Clinic/Center based in Lake Forest, IL and is specialized in Pain. Great River Pain Clinic Llc practices in Galesburg, IL. The NPI Number for Great River Pain Clinic Llc is 1134597636 and holds a License No. (Illinois).

The current practice location address for Great River Pain Clinic Llc is 555 N Kellogg St, Galesburg, IL and can be reached out via phone at 312-613-9999.

Location: 555 N Kellogg St, Galesburg, IL, 60045-0689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134597636
Provider Name
Great River Pain Clinic Llc
Credential
Provider Entity Type
Organization
Address
555 N Kellogg St, Galesburg, IL, 60045-0689
Phone Number
312-613-9999
Fax Number
Provider Enumeration Date
09/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 N Kellogg St
City
Galesburg
State
Illinois
Zip
61401-3726
Phone Number
312-613-9999
Fax Number
person
Provider Business Mailing Address Details
Address
555 N Kellogg St
City
Galesburg
State
Illinois
Zip
61401-3726
Phone Number
312-613-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
261QP3300X
License No.
()
Definition
Definition to come...
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