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1134597636
GREAT RIVER PAIN CLINIC LLC
GALESBURG, IL
NPI
1134597636
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Entity Type
Organization
Authorized Contact
SANJAY SUNDAR
President
312-613-9999
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2015-09-14
Last Update Date
2015-09-14
Business Address
GREAT RIVER PAIN CLINIC LLC
555 N KELLOGG ST
GALESBURG, IL 61401-3726
Phone number: 312-613-9999
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Mailing Address
GREAT RIVER PAIN CLINIC LLC
PO BOX 689
LAKE FOREST, IL 60045-0689
Phone number:
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