Piasa Pain Center LLC

NPI #1558583732 in Acton, Illinois

Provider Information

NPI Number
1558583732
Entity Type
Organization
Organization Name
Piasa Pain Center LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
May 3, 2007
Last Updated
Nov 8, 2007

Practice Location

Address
#3 PROFESSIONAL DRIVE
Address 2
SUITE B
City
Acton
ZIP Code
62002
Phone
(618) 465-7177

Authorized Official

Name
THOMAS B BRUMMETT, MD
Title
MANAGING MEMBER
Phone
(618) 465-7177

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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