Organization · Type 2 NPI

Midwest Pain & Spine Center, LLC

Specialist · Peoria, IL

NPI number 1679944334 Active

Practice location

5401 N Knoxville Ave, Suite 416
Peoria, IL 61614-5098

Call (309) 692-7246 Map

Fax (309) 692-7226

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679944334

Midwest Pain & Spine Center, LLC's National Provider Identifier is 1679944334, issued on Oct 7, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Peoria, IL. The record was last updated on Oct 23, 2015.