Interventional Pain Management Of Northern Illinois

LBN: Interventional Pain Management Of Northern Illinois
Interventional Pain Management Of Northern Illinois is an health care organization with primary practice located at 4338 Morsay Dr Lower Level, Rockford IL 61107-4877. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Interventional Pain Management Of Northern Illinois can be contacted via phone (815) 397-8500, or through Kong, Andrew via phone (815) 316-0221.

Contact Information

Primary practice address
4338 Morsay Dr Lower Level Rockford IL 61107-4877
Phone: (815) 397-8500
Fax: (815) 397-8588
Website:
Map and Directions
Authorized official contact:
Name: Kong, Andrew Doctor of Chiropractic (DC)
Phone: (815) 316-0221

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Illinois

Profile Details

NPI number 1255754362
LBN Legal business name Interventional Pain Management Of Northern Illinois
DBA Doing business as
Authorized official Kong, Andrew Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2014
Last updated Apr 7th, 2015 - about 11 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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