NPI | 1568028744 |
---|---|
Doing Business As | INTERVENTIONS IN PAIN MANAGEMENT LLC |
Entity Type | Organization |
Authorized Contact | KERRY P PANOZZO Owner 309-428-7055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |