Organization · Type 2 NPI
Advanced Interventional Spine and Pain Institute. LLC
Interventional Pain Medicine Physician · Breese, IL
Practice location
4700 Memorial Drive, Suite 230 Pain Center, 4700 Memorial Drive, Memorial Hospital
Breese, IL 62226
Fax (618) 257-6671
Mailing address
PO Box 24001
Belleville, IL 62223-9001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036111184 (IL) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 36111184 (IL) |
| Interventional Pain Medicine Physician Primary | 208VP0014X | 036111184 (IL) |
| Pain Clinic/Center | 261QP3300X | 036111184 (IL) |
Interventional Pain Medicine Physician: 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.
About NPI 1679878698
Advanced Interventional Spine and Pain Institute. LLC's National Provider Identifier is 1679878698, issued on Jan 22, 2011. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Breese, IL. The record was last updated on Jan 30, 2023.