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ILLINOIS CENTERS FOR PAIN AND REHAB SC NPI 1689860975


NPI Information

NPI: 1689860975
Provider Name: ILLINOIS CENTERS FOR PAIN AND REHAB, SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2147737

Address:
3400 GRIFFIN AVE
PEKIN, IL
ZIP 61554
Phone: (309) 347-4277
Get Directions

ILLINOIS CENTERS FOR PAIN AND REHAB, SC is a family medicine in Pekin, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ILLINOIS CENTERS FOR PAIN AND REHAB, SC NPI is 1689860975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3400 GRIFFIN AVE
PEKIN, IL
ZIP 61554-241
Phone: (309) 347-4277

The provider's authorized official is Volkan Sumer .
The authorized official title is Medical Director and has the following contact phone number (309) 347-4277.

The CLIA number assigned to this NPI record is 14D2147737 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 7/21/2022.


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
1207Q00000XFamily MedicineILLINOISYes

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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