Pain Institute, Ltd

NPI #1437458536 in Swansea, Illinois

Provider Information

NPI Number: 1437458536
Entity Type: Organization
Organization Name: Pain Institute, Ltd
Primary Specialty: Nurse Practitioner
Enumeration Date: Mar 15, 2011
Last Updated: Aug 1, 2011

Practice Location

Address: 4972 BENCHMARK CENTRE DR
City: Swansea
State: Illinois
ZIP Code: 62226-2070
Phone: (931) 905-1720

Authorized Official

Name: MR. KYLE M LONGO, D.C.
Title: OWNER
Phone: (931) 905-1720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Physical Therapist	225100000X
Nurse Practitioner	363L00000X	Primary

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