Organization
PAIN INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE M LONGO D.C. (OWNER)
(618) 622-0303
Entity
Organization
Contact information
Practice address
4972 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2070
(618) 622-0303
(618) 622-0909
Mailing address
4972 BENCHMARK CENTRE DR, SWANSEA, IL 62226-2070
(618) 622-0303
(618) 622-0909
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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