Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Active OrganizationJERSEYVILLE PAIN MANAGEMENT CENTER, S.C. is a Pain Medicine (PM&R) organization located in WOOD RIVER, Illinois. NPI 1811262728 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (PM&R) · WOOD RIVER, IL
Registration Details
- NPI Number
- 1811262728
- Provider Type
- Organization
- NPI Issued
- Mar 12, 2012 (14.40423280885 yrs)
- Last Updated
- Mar 12, 2012
- Licenses
-
038009545 (IL)038004303 (IL)36048379 (IL)70004750 (IL)36048379 (IL)
Practice Information
- Address
-
1702 VAUGHN RDWOOD RIVER, IL, 620951898Browse IL providers · Browse ZIP 62095
- Phone
- 6182593321
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Chiropractor
- Additional Specialty
- Interventional Vascular Surgery
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.