Organization
ROCK VALLEY ADVANCED PAIN MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L WOJCIECHOWSKI CRNA, FAAPM, APN (OWNER)
(815) 316-1894
Entity
Organization
Contact information
Practice address
6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
(815) 316-1894
(815) 633-5141
Mailing address
6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
(815) 316-1894
(815) 633-5141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209001050
IL
Other
Enumeration date
04/02/2008
Last updated
11/11/2008
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