Center for Pain Management & Rehab S. C .

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

036113585 Issued in IL

Legal business name

CENTER FOR PAIN MANAGEMENT & REHAB S. C .

Practice address

5401 N Knoxville Ave
Suite 117
Peoria, IL 61614-5095

Phone

(309) 689-8888

Fax

(309) 689-8410

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yibing Li, MD

Title

President

Phone

(309) 696-3300

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1801061650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 117",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145095",
            "telephone_number": "309-689-8888",
            "fax_number": "309-689-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 117",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145095",
            "telephone_number": "309-689-8888",
            "fax_number": "309-689-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN MANAGEMENT & REHAB S. C .",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "YIBING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-696-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "IL",
            "license": "036113585",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "036113585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN7761",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Cavender, MD
• Jodi Lynn Cawley, LMT
• Krista Cebuhar, WHNP
• Peter Stephen Cenek, APN-CNS
• Center for Health Ambulatory Surgery Center, LLC
• Centerpoint Counseling Associates LLC
• Central Il. Hearing Aid Centers, Inc.
• Central Illinois Agency on Aging, Inc.
• Central Illinois Dermatology, S.C.
• Central Illinois Endoscopy Center, LLC

• Pain Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Pain Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.