Prairie Spine & Pain Institute of Southern Illinois, LLC
Prairie Spine & Pain Institute of Southern Illinois, LLC is an Orthopaedic Surgery of the Spine Physician in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1306 N Russell StMarion, IL 62959-4570
Phone: (309) 691-7774
Fax: (309) 689-5768
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery of the Spine Physician (primary) | Taxonomy 207XS0117X · Licence 036112907 (IL) |
|---|
Record details
| NPI number | 1861785354 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Prairie Spine & Pain Institute |
| Authorized official | Richard Kube — President · (309) 691-7774 |
| NPI enumerated | May 17, 2011 |
| Last updated in NPPES | January 23, 2015 |
| Mailing address | Po Box 5173, Peoria, IL 61601-5173 |