| NPI | 1124146261 |
|---|---|
| Doing Business As | PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | DENNIS PLUARD CFO 217-258-2513 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-18 |