Organization
LIVEWELL CENTERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK BRYAN KOMESHAK DC (CHIEF OF STAFF)
(618) 236-3600
Entity
Organization
Contact information
Practice address
3030 FRANK SCOTT PKWY W, SUITE 1, BELLEVILLE, IL 62223-5014
(618) 236-3600
Mailing address
3030 FRANK SCOTT PKWY W, SUITE 1, BELLEVILLE, IL 62223-5014
(618) 236-3600
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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