1. Home
  2. Directory
  3. Illinois
  4. Maryville
  5. Pain Medicine
  6. NPI Profile

INTERVENTIONAL PAIN CONSULTANTS LLC
NPI 1568078087
Pain Medicine - Interventional Pain Medicine in Maryville, IL

Active since September 21, 2020
2023 VADALABENE DR STE 300, MARYVILLE, IL 62062(185) 288-6722 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2024, Sep 21, 2020 (2 updates tracked since 2020).

About Interventional Pain Consultants Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL PAIN CONSULTANTS LLC (NPI 1568078087) is a healthcare organization registered as an interventional pain medicine in Maryville, Illinois and active in the NPI registry since September 2020. The organization lists Randy Rohland Pruetzel, Manager, as its authorized official.

NPPES Registry Identity

NPI1568078087
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL PAIN CONSULTANTS LLC
Location Address2023 VADALABENE DR STE 300Maryville, IL 62062-5846
Mailing Address2023 Vadalabene Dr Ste 300Maryville, IL 62062-5846 · (618) 288-6722
Phone(185) 288-6722
Organization SubpartNo
Authorized OfficialRandy Rohland PruetzelManager · (618) 205-8302
Enumeration DateSeptember 21, 2020
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1568078087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

2023 VADALABENE DR STE 300, Maryville, IL 62062
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY NICHOLS DOCTOR
Physical Therapist
2023 VADALABENE DR STE 300
MARYVILLE, IL 62062
Madison County (618) 288-6722
MRS. JOANN MARIE WILSON RN, APRN-BC
Nurse Practitioner (Adult Health)
2023 VADALABENE DR STE 300
MARYVILLE, IL 62062
Madison County (618) 288-6722
SYNERGY HEALTHCARE SOLUTIONS LLC
Pain Medicine (Pain Medicine)
2023 VADALABENE DR STE 300
MARYVILLE, IL 62062
Madison County (618) 288-6722

Frequently Asked Questions

What is INTERVENTIONAL PAIN CONSULTANTS LLC's NPI number?

The NPI number assigned to this healthcare provider is 1568078087, enumerated as an "organization" on September 21, 2020.

Where is the provider located?

The provider is located at 2023 VADALABENE DR STE 300 MARYVILLE, IL 62062 and the phone number is (185) 288-6722.

What is the provider's specialty?

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.