MILLENNIUM PAIN CENTER LLC (NPI# 1225196488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225196488 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM PAIN CENTER LLC |
| Practice Address |
2406 E Empire St Bloomington IL 61704-3630 |
| Mailing Address |
11350 Mccormick Rd Executive Plaza 1, Suite 501 Hunt Valley MD 21031-1002 |
| Practice Telephone | 3096624321 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-06-25 |
| Authorized Official Name | RAMSIN BENYAMIN (PRESIDENT) |
| Authorized Official Telephone | 3096624321 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417018052 | Millennium Pain Center LLC | Clinic/Center | 13111 N Central Expy, Suite 150, Dallas, TX 75243-1138 | 2006-12-13 |
| 1861815235 | Millennium Pain Center LLC | Pain Medicine | 925 Sherwood Dr, Lake Bluff, IL 60044-2203 | 2014-01-21 |
| Street Address |
2406 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366552630 | David Mcclure | Physical Therapist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2006-08-30 |
| 1821637927 | Nickolas Allen Rhoades | Nurse Practitioner | 2406 E Empire St, Bloomington, IL 61704-3630 | 2020-01-06 |
| 1306350780 | Angela Sue Birdsell | Nurse Practitioner | 2406 E Empire St, Bloomington, IL 61704-3630 | 2017-11-21 |
| 1427578962 | Daniel Dodd | Radiologic Technologist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2017-06-26 |
| 1811364052 | Cody Wickenhauser | Physical Therapist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2015-08-24 |
| 1710213673 | Bromenn Physician Management Corporation | Internal Medicine | 2406 E Empire St, Bloomington, IL 61704-3630 | 2009-10-28 |
| 1205988458 | Jaclyn Marie Walker | Physical Therapist | 2406 E Empire St, Bloomington, IL 61704-3630 | 2007-01-17 |
| 1003900820 | Orthopedic and Sports Enhancement Center, LLC | Orthopaedic Surgery | 2406 E Empire St, Bloomington, IL 61704-3630 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598061103 | Guardian Headache & Pain Management Institute | Clinic/Center | 2203 Eastland Dr, Suite 7, Bloomington, IL 61704-7918 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790244150 | Paradise Point Spa | Clinic/Center | 3207 Lake Ave Ste 13, Wilmette, IL 60091-1082 | 2019-03-15 |
| 1932610110 | Julia Rackley Perry Memorial Hospital | Clinic/Center | 530 Park Ave E Fl 3, Princeton, IL 61356-3901 | 2017-10-16 |
| 1538606470 | Naprapathy University | Clinic/Center | 320 E 21st St, Unit 405, Chicago, IL 60616-3190 | 2017-01-30 |
| 1306216403 | Chicago Pain and Wellness Institute S.c. | Clinic/Center | 665 W North Ave, Suite 101, Lombard, IL 60148-1134 | 2015-10-01 |
| 1134597636 | Great River Pain Clinic LLC | Clinic/Center | 555 N Kellogg St, Galesburg, IL 61401-3726 | 2015-09-14 |
| 1649651951 | Wellness Institute of Illinois, Ltd. | Clinic/Center | 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 | 2015-06-11 |
| 1558618512 | Precision Diagnostics | Clinic/Center | 18623 81st Ave, Tinley Park, IL 60487-6279 | 2012-08-09 |
| 1962637157 | Interventional Pain Medicine of Jacksonville, LLC | Clinic/Center | 1440 West Walnut Street, Jacksonville, IL 62650-0000 | 2009-05-18 |
| 1952565384 | Aaa Headache and Pain Clinic Ltd | Clinic/Center | 1449 N Milwaukee Ave, Libertyville, IL 60048-1310 | 2008-07-15 |
| 1639332505 | Interventional Pain Medicine LLC | Clinic/Center | 1 Bronze Pointe Blvd, Suite 1-a, Swansea, IL 62226-1045 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MILLENNIUM PAIN CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.