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Organization
INTERVENTIONAL PAIN MEDICINE LLC
Active
Organization
INTERVENTIONAL PAIN MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NAHEED T BASHIR M.D. (OWNER)
(618) 233-7055
Entity
Organization
Contact information
Practice address
1 BRONZE POINTE BLVD, SUITE 1-A, SWANSEA, IL 62226-1045
(618) 233-7055
Mailing address
1 BRONZE POINTE BLVD, SUITE 1-A, SWANSEA, IL 62226-1045
(618) 233-7055
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120409
—
IL
01
—
8232343
BLUECROSS BLUE SHIELD
IL
01
—
869795
HEALTHLINK
IL
Enumeration date
07/09/2008
Last updated
02/27/2024
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