Organization · Type 2 NPI
Pain Relief Center
Medical Specialty Clinic/Center · Jerseyville, IL
Practice location
903 South State Street
Jerseyville, IL 62052
Fax (618) 498-8825
Mailing address
P.o. Box 649
Wood River, IL 62095
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 038.009545 (IL) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
About NPI 1861786493
Pain Relief Center's National Provider Identifier is 1861786493, issued on May 31, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Jerseyville, IL. The record was last updated on Jan 22, 2014.