Interventional Pain Management of Northern Illinois
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Rockford, IL
NPI 1255754362 · NPPES record last updated Apr 7, 2015
Key facts
- NPI
- 1255754362
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- INTERVENTIONAL PAIN MANAGEMENT OF NORTHERN ILLINOIS
- Practice address
- 4338 Morsay Dr
Lower Level
Rockford, IL 61107-4877 - Phone
- (815) 397-8500
- Fax
- (815) 397-8588
- NPI assigned
- Jan 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew Kong, D.C.
- Title
- Owner/President
- Phone
- (815) 316-0221
Practitioners 2
-
Kandise Rosenbaum, D.C.
National Provider Directory
Locations
4338 Morsay Dr
Lowr
Rockford, IL 61107
Phone (815) 397-8500
4235 Maray Dr
Rockford, IL 61107
Phone (815) 397-8500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | IL | ||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | IL | Yes |
Addresses
Primary practice location
4338 Morsay Dr
Lower Level
Rockford, IL 61107-4877
Mailing address
4338 Morsay Dr
Lower Level
Rockford, IL 61107-4877
Phone (815) 397-8500
Other providers in Rockford, IL
- Integrative Medical of Rockford
- Integrative Rehabilitation Center, SC
- Integrative Rehabmedicine SC
- Nolan Jacob Interial
- International Dental Center
- Ashlee Inthaluexay-Cape
- Sarah Iqbal
- Sumaira Iqbal
- Irene Boswell MD PC
- Syed Irfan
All providers in Rockford, IL · Pain Medicine (Anesthesiology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.