Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC
Active OrganizationADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC is a Interventional Vascular Surgery organization located in BREESE, Illinois. NPI 1679878698 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · BREESE, IL
Registration Details
- NPI Number
- 1679878698
- Provider Type
- Organization
- NPI Issued
- Jan 22, 2011 (15.593431431324 yrs)
- Last Updated
- Jan 30, 2023
- Licenses
-
036111184 (IL)36111184 (IL)036111184 (IL)036111184 (IL)
Practice Information
- Address
-
4700 MEMORIAL DRIVE, SUITE 230 PAIN CENTER4700 MEMORIAL DRIVE, MEMORIAL HOSPITALBREESE, IL, 62226Browse IL providers · Browse ZIP 62226
- Phone
- 6182575902
- Fax
- 6182576671
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine (PM&R)
- Additional Specialty
- Pain Clinic
- Additional Specialty
- Interventional Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.