Basic Information
| Provider Information | |||||||||
| NPI: | 1669090775 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEUROPATHY AND PAIN SOLUTIONS LTD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13 WOLF CREEK DR STE 1 | ||||||||
| Address2: | |||||||||
| City: | SWANSEA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622262367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6182334458 | ||||||||
| FaxNumber: | 6182338285 | ||||||||
| Practice Location | |||||||||
| Address1: | 13 WOLF CREEK DR STE 1 | ||||||||
| Address2: | |||||||||
| City: | SWANSEA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 622262367 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6182334458 | ||||||||
| FaxNumber: | 6182338285 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2020 | ||||||||
| LastUpdateDate: | 09/22/2021 | ||||||||
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| AuthorizedOfficialLastName: | HINRICHS | ||||||||
| AuthorizedOfficialFirstName: | GREGORY | ||||||||
| AuthorizedOfficialMiddleName: | J | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 6182334458 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DC | ||||||||
| NPICertificationDate: | 09/22/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208D00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.