Organization
THERAPEUTIC SPINE AND PAIN CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG W CARMICHAEL MD (PRESIDENT)
(309) 824-8670
Entity
Organization
Contact information
Practice address
3801 GENERAL ELECTRIC RD STE 4, BLOOMINGTON, IL 61704-4193
(309) 319-2341
Mailing address
19646 BRIAR DR, BLOOMINGTON, IL 61705-4030
(309) 824-8670
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
01/12/2022
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