Center For Pain Management & Rehab S. C .

LBN: Center For Pain Management & Rehab S. C .
Center For Pain Management & Rehab S. C . is an health care organization with primary practice located at 5401 N Knoxville Ave Suite 117, Peoria IL 61614-5095. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Pain, Ambulatory Health Care Facilities / Rehabilitation. Ambulatory Health Care Facilities / Pain is the primary health care specialty. Center For Pain Management & Rehab S. C . can be contacted via phone (309) 689-8888, or through Li, Yibing via phone (309) 696-3300.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 117 Peoria IL 61614-5095
Phone: (309) 689-8888
Fax: (309) 689-8410
Website:
Map and Directions
Authorized official contact:
Name: Li, Yibing Doctor of Medicine (MD)
Phone: (309) 696-3300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Pain 261QP3300X 036113585 Illinois
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 036113585 Illinois

Profile Details

NPI number 1801061650
LBN Legal business name Center For Pain Management & Rehab S. C .
DBA Doing business as
Authorized official Li, Yibing Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Nov 6th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801061650 NPPES
Other DN7761 RR MEDICARE

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