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Organization

METRO AREA PAIN CONSULTANTS, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANY SCOTT (PRACTICE ADMINISTRATOR)
(815) 932-7246
Entity
Organization

Contact information

Practice address
555 W COURT ST, SUITE100, KANKAKEE, IL 60901-3664
(815) 932-7246
(815) 932-7307
Mailing address
PO BOX 723, MUSKEGON, MI 49443-0723
(231) 780-6080
(231) 780-6090

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4615091
BCBS OF ILLINOIS GROUP #
IL
01
CN1391
RAILROAD MEDICARE
IL
Enumeration date
12/09/2005
Last updated
01/22/2008
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