Danville Pain & Rehabilitation Medicine Center, LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

DANVILLE PAIN & REHABILITATION MEDICINE CENTER, LLC

Practice address

733 N Logan Ave
Danville, IL 61832-4378

Phone

(217) 267-2175

Fax

(217) 267-2179

NPI assigned

Aug 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Srinivas Sunkavally, M.D.

Title

Physician

Phone

(217) 267-2175

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manoucher Ravaee, MD

  • Internal Medicine Physician
  • Danville, IL
  • NPI 1972610491
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1023124302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324378",
            "telephone_number": "217-267-2175",
            "fax_number": "217-267-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N LOGAN AVE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324378",
            "telephone_number": "217-267-2175",
            "fax_number": "217-267-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PAIN & REHABILITATION MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SUNKAVALLY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "217-267-2175",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danville Healthcare, LLC
• Danville Neurology, LLC
• Danville Nursing and Rehab Center LLC
• Danville Operations LLC
• Danville Operations LLC
• Danville Pain Management and Rehabilitation Institute, LLC.
• Danville Pediatric Center
• Danville Polyclinic LTD
• Danville Polyclinic, LTD
• Danville Polyclinic, LTD

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Danville, IL
• Providers in Danville, IL by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.