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ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC NPI 1679878698


NPI Information

NPI: 1679878698
Provider Name: ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
4700 MEMORIAL DRIVE, SUITE 230 PAIN CENTER
4700 MEMORIAL DRIVE, MEMORIAL HOSPITAL
BREESE, IL
ZIP 62226
Phone: (618) 257-5902
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ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC is an interventional pain medicine pain medicine in Breese, IL. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC NPI is 1679878698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4700 MEMORIAL DRIVE, SUITE 230 PAIN CENTER
4700 MEMORIAL DRIVE, MEMORIAL HOSPITAL
BREESE, IL
ZIP 62226
Phone: (618) 257-5902
Fax: (618) 257-6671

The provider's authorized official is Hongkai Kevin Du .
The authorized official title is President/owner and has the following contact phone number (618) 767-3814.

The enumeration date for this NPI number is 1/22/2011 and was last updated on 1/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & Rehabilitation036111184ILLINOISNo
22081P2900XPhysical Medicine & RehabilitationPain Medicine36111184ILLINOISNo
3261QP3300XClinic/CenterPain036111184ILLINOISNo
4208VP0014XPain MedicineInterventional Pain Medicine036111184ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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