Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Interventional Pain Consultants LLC

Organization Interventional Pain Medicine Physician · NPI 1568078087

Interventional Pain Consultants LLC is an Interventional Pain Medicine Physician in Maryville, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2023 Vadalabene Dr Ste 300
Maryville, IL 62062-5846
Phone: (185) 288-6722
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

Record details

NPI number1568078087
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Pruetzel — Manager · (618) 205-8302
NPI enumeratedSeptember 21, 2020
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address2023 Vadalabene Dr Ste 300, Maryville, IL 62062-5846