PRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC
NPI 1861785354
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Marion, IL

Q: What is Prairie Spine & Pain Institute Of Southern Illinois, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Active since May 17, 2011

1306 N RUSSELL ST, MARION, IL 62959(309) 691-7774(309) 689-5768 Get Directions Write a Review

NPPES record last updated: January 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Prairie Spine & Pain Institute Of Southern Illinois, Llc NPPES

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

PRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC (NPI 1861785354) is a healthcare organization registered as an orthopaedic surgery of the spine in Marion, Illinois and active in the NPI registry since May 2011. The organization lists Richard A Kube, President, as its authorized official.

NPPES Registry Identity

NPI1861785354

Entity TypeOrganization

Primary Taxonomy207XS0117X

Legal Business NamePRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC

Location Address1306 N RUSSELL STMarion, IL 62959-4570

Mailing AddressPo Box 5173Peoria, IL 61601-5173 · (309) 691-7774 · Fax (309) 689-5768

Phone(309) 691-7774

Fax(309) 689-5768

Organization SubpartYesParent: Prairie Spine & Pain Institute

Authorized OfficialRichard A KubePresident · (309) 691-7774

Enumeration DateMay 17, 2011

Last NPPES UpdateJanuary 23, 2015

✔ NPI 1861785354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in IL · 036112907

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1306 N RUSSELL ST, Marion, IL 62959

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

DEACONESS ILLINOIS CLINIC, INC

Family Medicine

1306 N RUSSELL ST
MARION, IL 62959

Williamson County (618) 997-2248

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 Prairie Spine & Pain Institute Of Southern Illinois, LLC's NPI number?

The NPI number for Prairie Spine & Pain Institute Of Southern Illinois, LLC is 1861785354. It was assigned to this organization in the NPPES registry on May 17, 2011.

Where is Prairie Spine & Pain Institute Of Southern Illinois, LLC located?

Prairie Spine & Pain Institute Of Southern Illinois, LLC is located at 1306 N Russell St, Marion, IL 62959. The listed phone number is (309) 691-7774.

What is Prairie Spine & Pain Institute Of Southern Illinois, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

What insurance does Prairie Spine & Pain Institute Of Southern Illinois, LLC accept?

Health plans from Moda Health Plan, Inc. list Prairie Spine & Pain Institute Of Southern Illinois, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prairie Spine & Pain Institute Of Southern Illinois, LLC was last updated on January 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.