GREAT RIVER PAIN CLINIC LLC

GALESBURG, IL
NPI1134597636
Entity TypeOrganization
Authorized ContactSANJAY SUNDAR
President
312-613-9999
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center, Pain
Enumeration Date2015-09-14
Last Update Date2015-09-14
Business Address
GREAT RIVER PAIN CLINIC LLC
555 N KELLOGG ST
GALESBURG, IL 61401-3726
Phone number: 312-613-9999
Mailing Address
GREAT RIVER PAIN CLINIC LLC
PO BOX 689
LAKE FOREST, IL 60045-0689
Phone number: