Organization
APPLIED PAIN INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUE BRADY (PRACTICE MANAGER)
(309) 662-0088
Entity
Organization
Contact information
Practice address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 662-0088
(309) 662-0089
Mailing address
1015 S MERCER AVE, BLOOMINGTON, IL 61701-7107
(309) 662-0088
(309) 662-0089
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
36-098820
IL
Other
Enumeration date
04/24/2008
Last updated
10/03/2022
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