GREAT RIVER PAIN CENTER LLC

MOLINE, IL
NPI1073865291
Entity TypeOrganization
Authorized ContactSANJAY SUNDAR
Owner
312-613-9999
Organization Subpart ?No
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
(Licence: IL  036118384)
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
GREAT RIVER PAIN CENTER LLC
1634 AVENUE OF THE CITIES
MOLINE, IL 61265-4860
Phone number: 309-762-9711
Mailing Address
GREAT RIVER PAIN CENTER LLC
1634 AVENUE OF THE CITIES
MOLINE, IL 61265-4860
Phone number: 309-762-9711
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