JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
NPI 1255609574
Non-Pharmacy Dispensing Site in Wood River, IL
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 1255609574) is a healthcare organization registered as a non-pharmacy dispensing site in Wood River, Illinois and active in the NPI registry since December 2011. The organization lists Bud Chomhirun, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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.
WOOD RIVER, IL 62095
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255609574, enumerated as an "organization" on December 01, 2011.
The provider is located at 1702 VAUGHN RD WOOD RIVER, IL 62095 and the phone number is (618) 259-3321.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.