# DANVILLE PAIN & REHABILITATION MEDICINE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023124302
- **Authorized official:** SRINIVAS SUNKAVALLY M.D. (PHYSICIAN)
- **Authorized official phone:** (217) 267-2175

## Contact information

- **Practice address:** 733 N LOGAN AVE, DANVILLE, IL 61832-4378
- **Practice address phone:** (217) 267-2175
- **Practice address fax:** (217) 267-2179
- **Mailing address:** 733 N LOGAN AVE, DANVILLE, IL 61832-4378
- **Mailing address phone:** (217) 267-2175
- **Mailing address fax:** (217) 267-2179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | IL | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 04/18/2008