Organization
GUARDIAN HEADACHE AND PAIN MANAGMENT
Active
Organization
GUARDIAN HEADACHE AND PAIN MANAGMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE UHLL (MANAGER)
(224) 231-4804
Entity
Organization
Contact information
Practice address
1110 ARBOR DR, STE B, DECATUR, IL 62526-9285
(217) 330-9324
Mailing address
1110 ARBOR DR, STE B, DECATUR, IL 62526-9285
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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