Great River Pain Clinic Llc

LBN: Great River Pain Clinic Llc
Great River Pain Clinic Llc is an health care organization with primary practice located at 555 N Kellogg St , Galesburg IL 61401-3726. The organization recently has only one registered license in Ambulatory Health Care Facilities / Pain, which is considered as the primary health care specialty. Great River Pain Clinic Llc can be contacted via phone (312) 613-9999, or through Sundar, Sanjay via phone (312) 613-9999.

Contact Information

Primary practice address
555 N Kellogg St Galesburg IL 61401-3726
Phone: (312) 613-9999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sundar, Sanjay Doctor of Medicine (MD)
Phone: (312) 613-9999

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X

Profile Details

NPI number 1134597636
LBN Legal business name Great River Pain Clinic Llc
DBA Doing business as
Authorized official Sundar, Sanjay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2015
Last updated Sep 14th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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