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Jerseyville Pain Management Center, S.c.
Chiropractor in Wood River, Illinois
NPI 1063470524

Jerseyville Pain Management Center, S.c. is a Chiropractor based in Wood River, IL. Jerseyville Pain Management Center, S.c. practices in Wood River, IL. The NPI Number for Jerseyville Pain Management Center, S.c. is 1063470524 and holds a License No. 042-618378 (Illinois).

The current practice location address for Jerseyville Pain Management Center, S.c. is 1702 Vaughn Rd, Wood River, IL and can be reached out via phone at 618-259-3321 and via fax at 618-259-3324.

Location: 1702 Vaughn Rd, Wood River, IL, 62095
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063470524
Provider Name
Jerseyville Pain Management Center, S.c.
Credential
Provider Entity Type
Organization
Address
1702 Vaughn Rd, Wood River, IL, 62095
Phone Number
618-259-3321
Fax Number
618-259-3324
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5933000001 01 IL MEDICARE DME
institution
Provider Business Practice Location Address Details
Address
1702 Vaughn Rd
City
Wood River
State
Illinois
Zip
62095
Phone Number
618-259-3321
Fax Number
618-259-3324
person
Provider Business Mailing Address Details
Address
1702 Vaughn Rd
City
Wood River
State
Illinois
Zip
62095
Phone Number
618-259-3321
Fax Number
618-259-3324
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
042-618378 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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