Jerseyville Pain Management Center, SC
Jerseyville Pain Management Center, SC is a Non-Pharmacy Dispensing Site in Wood River, Illinois. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1702 Vaughn RdWood River, IL 62095-1898
Phone: (618) 259-3321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X |
|---|
Record details
| NPI number | 1255609574 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Jerseyville Pain Management Center, SC |
| Authorized official | Bud Chomhirun — Medical Director · (618) 259-3321 |
| NPI enumerated | December 1, 2011 |
| Last updated in NPPES | January 3, 2012 |
| Mailing address | 2980 N Beverly Glen Cir, Suite 301, Los Angeles, CA 90077-1726 |