Rockford Pain Management Ltd

NPI #1174885107 in Rockford, Illinois

Provider Information

NPI Number
1174885107
Entity Type
Organization
Organization Name
Rockford Pain Management Ltd
Primary Specialty
General Practice
Enumeration Date
Jun 14, 2012
Last Updated
Jun 14, 2012

Practice Location

Address
6451 E RIVERSIDE BLVD
Address 2
SUITE 101
ZIP Code
61114-4421
Phone
(815) 639-1090

Authorized Official

Name
DR. TODD CEVENE, DC
Title
OWNER
Phone
(815) 639-1090

Specialties & Taxonomy Codes

Specialty
General Practice

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