Organization
MEDICAL PAIN MANAGEMENT SERVICES, LTD.
Active
Organization
MEDICAL PAIN MANAGEMENT SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN J. NEWMAN (DIRECTOR OF ACCOUNTING)
(815) 877-4848
Entity
Organization
Contact information
Practice address
1235 N MULFORD RD, ROCKFORD, IL 61107-3879
(815) 397-8400
(815) 229-0050
Mailing address
1235 N MULFORD RD, ROCKFORD, IL 61107-3879
(815) 397-8400
(815) 229-0050
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
060-005593
IL
Other
Enumeration date
07/14/2006
Last updated
01/20/2016
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