Organization
PAIN-FREE LIVING SERVICES OF ILLINOIS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S FOOTERMAN MD (PRESIDENT)
(920) 451-8142
Entity
Organization
Contact information
Practice address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(920) 633-8586
Mailing address
6785 WEAVER RD, STE D, ROCKFORD, IL 61114-8055
(920) 633-8586
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036083677
IL
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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