Jerseyville Pain Management Center, S.c. is a Physical Therapist 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 1811262728 and holds a License No. 038009545 (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.
Location: 1702 Vaughn Rd, Wood River, IL, 62095-0649
Provider Profile Details
NPI Number
1811262728
Provider Name
Jerseyville Pain Management Center, S.c.
Credential
Provider Entity Type
Organization
Address
1702 Vaughn Rd, Wood River, IL, 62095-0649
Phone Number
618-259-3321
Fax Number
Provider Enumeration Date
03/12/2012
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 477779 | 01 | IL | HEALTHLINK |
| 224252 | 01 | GHP | |
| 038009545 | 05 | IL | |
| 210609 | 01 | IL | MEDICARE ILLINOIS |
| 5933000001 | 01 | IL | MEDICARE P-TAN |
| 04232007 | 01 | IL | BCBS ILLINOIS |
Provider Business Practice Location Address Details
Address
1702 Vaughn Rd
City
State
Zip
62095-1898
Phone Number
618-259-3321
Fax Number
Provider Business Mailing Address Details
Address
1702 Vaughn Rd
City
State
Zip
62095-1898
Phone Number
618-259-3321
Fax Number
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
36048379 (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.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
License No.
36048379 (Illinois)
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
License No.
038004303 (Illinois)
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.
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
-
Taxonomy
License No.
038009545 (Illinois)
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
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