Prairie Spine and Pain Institute SC
Prairie Spine and Pain Institute SC is an Orthopaedic Surgery of the Spine Physician in Peoria, Illinois. Works from 2 locations. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
7620 N University St Ste 104Peoria, IL 61614-1297
Phone: (309) 691-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 1002 N Pentecost Dr, Marion, IL 62959-5820 — (309) 691-7774
Specialties & licences
| Orthopaedic Surgery of the Spine Physician (primary) | Taxonomy 207XS0117X |
|---|
Record details
| NPI number | 1518111376 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Kube — Owner · (309) 691-7774 |
| NPI enumerated | November 6, 2008 |
| Last updated in NPPES | January 4, 2022 |
| Certification date | January 4, 2022 |
| Mailing address | Po Box 5173, Peoria, IL 61601-5173 |
Other providers in Peoria
-
Dr. Daniel Scott Mulconrey, MD
6000 N Allen Rd, Peoria, IL 61614-3294 · (309) 691-1400