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Southern Illinois Pain Management
Specialist in Marion, Illinois
NPI 1942227863

Southern Illinois Pain Management is a Specialist based in Marion, IL. Southern Illinois Pain Management practices in Marion, IL. The NPI Number for Southern Illinois Pain Management is 1942227863 and holds a License No. (Illinois).

The current practice location address for Southern Illinois Pain Management is 3905 W Ernestine Dr, Marion, IL and can be reached out via phone at 618-993-5859 and via fax at 618-997-1588.

Location: 3905 W Ernestine Dr, Marion, IL, 62959-5800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942227863
Provider Name
Southern Illinois Pain Management
Credential
Provider Entity Type
Organization
Address
3905 W Ernestine Dr, Marion, IL, 62959-5800
Phone Number
618-993-5859
Fax Number
618-997-1588
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3905 W Ernestine Dr
City
Marion
State
Illinois
Zip
62959-5800
Phone Number
618-993-5859
Fax Number
618-997-1588
person
Provider Business Mailing Address Details
Address
3905 W Ernestine Dr
City
Marion
State
Illinois
Zip
62959-5800
Phone Number
618-993-5859
Fax Number
618-997-1588
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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