Advanced Interventional Spine and Pain Institute LLC
Advanced Interventional Spine and Pain Institute LLC is a Physical Medicine & Rehabilitation Physician in Breese, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4700 Memorial Dr Ste 230 Pain Center 4700 Memorial Drive Memorial HospitalBreese, IL 62226
Phone: (618) 257-5902
Fax: (618) 257-6671
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 036111184 (IL) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 036111184 (IL) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081P2900X · Licence 36111184 (IL) |
| Pain Clinic/Center | Taxonomy 261QP3300X · Licence 036111184 (IL) |
Record details
| NPI number | 1679878698 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hongkai Du — President/Owner · (618) 767-3814 |
| NPI enumerated | January 22, 2011 |
| Last updated in NPPES | January 30, 2023 |
| Certification date | January 30, 2023 |
| Mailing address | Po Box 24001, Belleville, IL 62223-9001 |