ADVANCED PAIN INTERVENTION SC

ROCKFORD, IL
NPI1548368475
Entity TypeOrganization
Authorized ContactALFRED P ROSCHE
Owner
815-387-1012
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: IL  036097335)
Enumeration Date2006-09-21
Last Update Date2011-03-23
Business Address
ADVANCED PAIN INTERVENTION SC
534 ROXBURY RD
ROCKFORD, IL 61107-5076
Phone number: 815-387-1012
Mailing Address
ADVANCED PAIN INTERVENTION SC
PO BOX 109
ROSCOE, IL 61073-0109
Phone number: 815-387-1012