Kankakee Pain Surgical Suite, LLC

NPI #1982844684 in Kankakee, Illinois

Provider Information

NPI Number
1982844684
Entity Type
Organization
Organization Name
Kankakee Pain Surgical Suite, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
METRO AREA PAIN CONSULTANTS, LTD.
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Feb 20, 2009
Last Updated
Feb 20, 2009

Practice Location

Address
555 W COURT ST
Address 2
SUITE 100
ZIP Code
60901-3664
Phone
(815) 932-7246

Authorized Official

Name
DR. DONALD E. ROLAND, M.D.
Title
PRESIDENT
Phone
(815) 932-7246

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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