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Prairie Spine & Pain Institute Of Southern Illinois, Llc
Orthopedic Surgery of the Spine Physician in Marion, Illinois
NPI 1861785354

Prairie Spine & Pain Institute Of Southern Illinois, Llc is a Orthopedic Surgery of the Spine Physician based in Peoria, IL and is specialized in Orthopedic Surgery of the Spine. Prairie Spine & Pain Institute Of Southern Illinois, Llc practices in Marion, IL. The NPI Number for Prairie Spine & Pain Institute Of Southern Illinois, Llc is 1861785354 and holds a License No. 036112907 (Illinois).

The current practice location address for Prairie Spine & Pain Institute Of Southern Illinois, Llc is 1306 N Russell St, Marion, IL and can be reached out via phone at 309-691-7774 and via fax at 309-689-5768.

Location: 1306 N Russell St, Marion, IL, 61601-5173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861785354
Provider Name
Prairie Spine & Pain Institute Of Southern Illinois, Llc
Credential
Provider Entity Type
Organization
Address
1306 N Russell St, Marion, IL, 61601-5173
Phone Number
309-691-7774
Fax Number
309-689-5768
Provider Enumeration Date
05/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1306 N Russell St
City
Marion
State
Illinois
Zip
62959-4570
Phone Number
309-691-7774
Fax Number
309-689-5768
person
Provider Business Mailing Address Details
Address
1306 N Russell St
City
Marion
State
Illinois
Zip
62959-4570
Phone Number
309-691-7774
Fax Number
309-689-5768
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
036112907 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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