ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC – NPI #1679878698
Pain Medicine
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC is a provider located in BREESE, IL. NPPES has assigned the NPI number 1679878698 to ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC on January 22, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine
The NPI profile was previously updated about 3 years ago on Jan 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC below.
NPI Profile for
ADVANCED INTERVENTIONAL SPINE AND PAIN INSTITUTE. LLC
(more than 15 years ago)
4700 MEMORIAL DRIVE, MEMORIAL HOSPITAL
BREESE, IL 62226 Phone: (618) 257-5902 Fax: (618) 257-6671
BELLEVILLE, IL 62223-9001 Phone: (618) 767-3814 Fax: (618) 257-6671
PRESIDENT/OWNER
Phone: (618) 767-3814
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208VP0014X - Pain Medicine / Interventional Pain Medicine (Primary) |
IL | 036111184 |
| 261QP3300X - Clinic/Center / Pain |
IL | 036111184 |
| 2081P2900X - Physical Medicine & Rehabilitation / Pain Medicine |
IL | 36111184 |
| 208100000X - Physical Medicine & Rehabilitation |
IL | 036111184 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.