Organization · Type 2 NPI

Interventional Pain Management Services LLC

Durable Medical Equipment & Medical Supplies · Granite City, IL

NPI number 1043795354 Active

Practice location

2421 Corporate Ctr Ste 105
Granite City, IL 62040-4195

Fax (314) 830-2648

Mailing address

PO Box 650
Edwardsville, IL 62025-0650

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1043795354

Interventional Pain Management Services LLC's National Provider Identifier is 1043795354, issued on Oct 2, 2018. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Granite City, IL. The record was last updated on May 14, 2026.