| 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 |