Organization
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Active
Parent organization
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Authorized official
DONALD E ROLAND MD (AUTHORIZED OFFICIAL)
(815) 401-5341
Entity
Organization
Contact information
Practice address
10 ORLAND SQUARE DR STE 10-C, ORLAND PARK, IL 60462-3207
(815) 401-5341
(708) 942-6001
Mailing address
461 BROWN BLVD STE A, BOURBONNAIS, IL 60914-2463
(815) 932-7242
(815) 932-7307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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