Illinois Regional Pain Institute, S.C. in Peoria - Specialist
Illinois Regional Pain Institute, S.C. - NPI 1952337453
Illinois Regional Pain Institute, S.C. is a Specialist in Peoria, Illinois. Illinois Regional Pain Institute, S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Illinois Regional Pain Institute, S.C. is 1952337453. The last update date is 2014-01-03.
Illinois Regional Pain Institute, S.C.'s current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096927246 and fax number 3096927226. The mailing address for Illinois Regional Pain Institute, S.C. is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Regional Pain Institute, S.C. |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096927246 |
| Fax Number | 3096927226 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE A |
|---|---|
| Authorized Official Name | Mucciante Gayle |
| Telephone Number | 3096927246 |
NPI Number Detail
| NPI Number | 1952337453 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2014-01-03 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096927246 |
| Fax Number | 3096927226 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36114669 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Illinois Regional Pain Institute, S.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Illinois Regional Pain Institute, S.C. has been assigned the NPI (National Provider Identifier) 1952337453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Illinois Regional Pain Institute, S.C.?
The Illinois Regional Pain Institute, S.C. is situated at 5401 N Knoxville Ave, in the city of Peoria, state of IL, with the zip code 616145098.
What is Illinois Regional Pain Institute, S.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Illinois Regional Pain Institute, S.C.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952337453 to Illinois Regional Pain Institute, S.C.?
The Centers for Medicare & Medicaid Services originally issued the 1952337453 to Illinois Regional Pain Institute, S.C. on 2006-06-25.
As of what date was the information pertaining to Illinois Regional Pain Institute, S.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Illinois Regional Pain Institute, S.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-03.