Organization
ROCKFORD PAIN MANAGEMENT LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD CEVENE DC (OWNER)
(815) 639-1090
Entity
Organization
Contact information
Practice address
6451 E RIVERSIDE BLVD, SUITE 101, ROCKFORD, IL 61114-4421
(815) 639-1090
(815) 639-9860
Mailing address
6451 E RIVERSIDE BLVD, SUITE 101, ROCKFORD, IL 61114-4421
(815) 639-1090
(815) 639-9860
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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