NPI 1568078087

Interventional Pain Consultants LLC

Organisation Interventional Pain Medicine Physician Maryville, IL

Practice location

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

Authorised official

Name: Randy Rohland Pruetzel
Title: Manager
Phone: (618) 205-8302

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Illinois →

Registry record

NPI: 1568078087
Entity type: Organization
NPI issued: 21 Sep 2020
Record last updated: 4 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.