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JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
NPI 1063470524
Chiropractor in Wood River, IL

Active since May 03, 2006
1702 VAUGHN RD, WOOD RIVER, IL 62095(618) 259-3321(618) 259-3324 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerseyville Pain Management Center, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERSEYVILLE PAIN MANAGEMENT CENTER, S.C. (NPI 1063470524) is a healthcare organization registered as a chiropractor in Wood River, Illinois and active in the NPI registry since May 2006. The organization lists James A Briggs, Owner, as its authorized official.

NPPES Registry Identity

NPI1063470524
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Location Address1702 VAUGHN RDWood River, IL 62095
Mailing AddressP.o. Box 649Wood River, IL 62095 · (618) 259-3321 · Fax (618) 259-3324
Phone(618) 259-3321
Fax(618) 259-3324
Organization SubpartNo
Authorized OfficialJames A BriggsOwner · (618) 259-3321
Enumeration DateMay 3, 2006
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1063470524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 042-618378
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1702 VAUGHN RD, Wood River, IL 62095
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Other Identifiers 5

Other5933000001IL · Medicare Dme
Medicare PIN5933000001IL
Medicare UPINU89003IL
Medicare NSC5933000001IL
Medicare PIN210609IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Non-Pharmacy Dispensing Site
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-3321
JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
Physical Medicine & Rehabilitation (Pain Medicine)
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-3321
DR. WAK S CHIA M.D
Pediatrics
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-5100
MRS. ERIN L MICENHEIMER PA-C
Physician Assistant (Medical)
1702 VAUGHN RD
WOOD RIVER, IL 62095
Madison County (618) 259-3321
DR. AARON JUSTIN MITCHELL D.C.
Chiropractor
1702 VAUGHN RD, SUITE 4
WOOD RIVER, IL 62095
Madison County (618) 259-3321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerseyville Pain Management Center, S.C.'s NPI number?

The NPI number for Jerseyville Pain Management Center, S.C. is 1063470524. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is Jerseyville Pain Management Center, S.C. located?

Jerseyville Pain Management Center, S.C. is located at 1702 Vaughn Rd, Wood River, IL 62095. The listed phone number is (618) 259-3321.

What is Jerseyville Pain Management Center, S.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jerseyville Pain Management Center, S.C. was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.