NPI | 1093470247 |
---|---|
Doing Business As | SYCAMORE PAIN & WELLNESS |
Entity Type | Organization |
Authorized Contact | MARTIN ADAMS VP Of Finance / CFO 217-466-4246 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
2084P2900X Psychiatry & Neurology, Pain Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2021-11-03 |
Last Update Date | 2024-09-30 |