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Illinois Regional Pain Institute, S.c.
Specialist in Peoria, Illinois
NPI 1952337453

Illinois Regional Pain Institute, S.c. is a Specialist based in Peoria, IL. Illinois Regional Pain Institute, S.c. practices in Peoria, IL. The NPI Number for Illinois Regional Pain Institute, S.c. is 1952337453 and holds a License No. 036114669 (Illinois).

The current practice location address for Illinois Regional Pain Institute, S.c. is 5401 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-7246 and via fax at 309-692-7226.

Location: 5401 N Knoxville Ave, Peoria, IL, 61614-5098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952337453
Provider Name
Illinois Regional Pain Institute, S.c.
Credential
Provider Entity Type
Organization
Address
5401 N Knoxville Ave, Peoria, IL, 61614-5098
Phone Number
309-692-7246
Fax Number
309-692-7226
Provider Enumeration Date
06/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-7246
Fax Number
309-692-7226
person
Provider Business Mailing Address Details
Address
5401 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-5098
Phone Number
309-692-7246
Fax Number
309-692-7226
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036114669 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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