Organization · Type 2 NPI
Jerseyville Pain Management Center, S.c.
Non-Pharmacy Dispensing Site · Wood River, IL
NPI number
1255609574
Active
Practice location
1702 Vaughn Rd
Wood River, IL 62095-1898
Mailing address
2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None listed |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
5 other providers at this address
- Jerseyville Pain Management Center, S.c.Chiropractor Wood River, IL NPI 1063470524
- Jerseyville Pain Management Center, S.c.Pain Medicine (Physical Medicine & Rehabilitation) Physician Wood River, IL NPI 1811262728
- Aaron Justin Mitchell, DCChiropractor Wood River, IL NPI 1871898213
- Erin L. Micenheimer, PA-CMedical Physician Assistant Wood River, IL NPI 1871897207
- Wak S. Chia, MDPediatrics Physician Wood River, IL NPI 1831131101
About NPI 1255609574
Jerseyville Pain Management Center, S.c.'s National Provider Identifier is 1255609574, issued on Dec 1, 2011. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Wood River, IL. The record was last updated on Jan 3, 2012.