Interventional Pain Medicine Llc in Swansea - Pain

Interventional Pain Medicine Llc - NPI 1639332505

Interventional Pain Medicine Llc is a Pain in Swansea, Illinois. Interventional Pain Medicine Llc practices all healthcare services and medical treatments related to Pain. The NPI Number for Interventional Pain Medicine Llc is 1639332505. The last update date is 2010-07-08.

Interventional Pain Medicine Llc's current location address is 1 Bronze Pointe Blvd, Swansea, Illinois. You can contact this provider via phone number 6182337055. The mailing address for Interventional Pain Medicine Llc is 1 Bronze Pointe Blvd, Swansea, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Interventional Pain Medicine Llc
Address 1 Bronze Pointe Blvd, Swansea, Illinois
Phone Number 6182337055
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Bashir T Naheed
Credentials M.D.
Telephone Number 6182337055

NPI Number Detail

NPI Number 1639332505
Provider Enumeration Date 2008-07-09
Last Updated Date 2010-07-08

Provider Mailing Address Detail

Address 1 Bronze Pointe Blvd
City Swansea
State Illinois (IL)
Post Code 622261045
Phone Number 6182337055
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pain
Taxonomy 261Qp3300X
Licence No 36120409
Definition:
Evaluates and manages acute and chronic pain through interventional, behavioral and alternative approaches.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36120409 IL --
8232343 IL BLUECROSS BLUE SHIELD
869795 IL HEALTHLINK

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FAQs about Interventional Pain Medicine Llc

What is the Interventional Pain Medicine Llc's unique identification number?

The Interventional Pain Medicine Llc has been assigned the NPI (National Provider Identifier) Number 1639332505 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Interventional Pain Medicine Llc's physical address?

The Interventional Pain Medicine Llc is physically located at 1 Bronze Pointe Blvd, in the city of Swansea, IL, with the postal code 622261045.

What is Interventional Pain Medicine Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Interventional Pain Medicine Llc's area of specialization is Pain, and the corresponding taxonomy code that categorizes this field of practice is 261Qp3300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1639332505 to Interventional Pain Medicine Llc?

The Centers for Medicare & Medicaid Services originally issued the 1639332505 to Interventional Pain Medicine Llc on 2008-07-09.

As of what date was the information regarding Interventional Pain Medicine Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Interventional Pain Medicine Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-07-08.

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