PIASA PAIN CENTER LLC


Address: #3 Professional Drive, Suite B, Acton, IL 62002
Phone: 6184657177

PIASA PAIN CENTER LLC (NPI# 1558583732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558583732
Entity Type Organization
Organization Name PIASA PAIN CENTER LLC
Practice Address #3 Professional Drive
Suite B
Acton
IL 62002
Mailing Address 940 West Port Plaza
Ste 270
St Louis
MO 63146-3118
Practice Telephone 6184657177
Practice Fax Number 6184657176
Mailing Telephone 3144530600
Mailing Fax Number 3144530083
Enumeration Date 2007-05-03
Last Update Date 2007-11-08
Authorized Official Name THOMAS B BRUMMETT (MANAGING MEMBER)
Authorized Official Telephone 6184657177
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Office Location

Street Address #3 PROFESSIONAL DRIVE
SUITE B
City ACTON
State IL
Zip Code 62002

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1841848322 Destiny L Miller Technician 3429 Meridocia St, Alton, IL 62002 2019-08-28
1942854633 Jessica Leigh Jump Speech-Language Pathologist 453 Bluff Street, Alton, IL 62002 2019-07-30
1194380741 Vasiliki Kytridou Dentist 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 2019-05-08
1982125910 Amy Nicole Spalding Social Worker 1123 Harrison St, Alton, IL 62002 2017-06-29
1962856310 Patricia Gregory Social Worker 5090 Humbert Rd, Alton, IL 62002 2016-04-21
1447612510 Alanna Lynn Mcnelly Chiropractor 219 Piasa St, Suite 200, Alton, IL 62002 2016-03-28
1174983050 Roberta's Lovely Ladies Boutique Mastectomy Fitter 603 W. Delmar, Alton, IL 62002 2016-03-04
1184081556 Darcy Graham Nurse Practitioner 4 Memorial Dr # 210, Alton, IL 62002 2016-01-15
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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ACTON
Zip Code 62002

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Dataset Information

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.

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