PC
PAIN CARE SURGERY, PC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
MARION, IL
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1184690570
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients98
RevalidationDue 2024-04-30
Authorized official
NameLAXMAIAH MANCHIKANTI
TitleMEDICAL DIRECTOR
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