| Rockford Pain Management Ltd | |
|
6451 E Riverside Blvd Suite 101 Rockford IL 61114-4421 | |
| (815) 639-1090 | |
| (815) 639-9860 |
| Full Name | Rockford Pain Management Ltd |
|---|---|
| Speciality | General Practice |
| Location | 6451 E Riverside Blvd, Rockford, Illinois |
| Authorized Official Name and Position | Todd Cevene (OWNER) |
| Authorized Official Contact | 8156391090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockford Pain Management Ltd 6451 E Riverside Blvd Suite 101 Rockford IL 61114-4421 Ph: (815) 639-1090 | Rockford Pain Management Ltd 6451 E Riverside Blvd Suite 101 Rockford IL 61114-4421 Ph: (815) 639-1090 |
| NPI Number | 1174885107 |
|---|---|
| Provider Enumeration Date | 06/14/2012 |
| Last Update Date | 06/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174885107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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