Organization
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREWNITA ROLAND (PRACTICE MANAGER)
(815) 932-7242
Entity
Organization
Contact information
Practice address
461 BROWN BLVD, SUITE A, BOURBONNAIS, IL 60914-2463
(815) 932-7242
(815) 932-7307
Mailing address
461 BROWN BLVD, SUITE A, BOURBONNAIS, IL 60914-2463
(815) 932-7242
(815) 932-7307
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
08/10/2023
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