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SOUTHERN ILLINOIS PAIN MANAGEMENT
NPI 1942227863
Specialist in Marion, IL

Active since July 16, 2006
3905 W ERNESTINE DR, MARION, IL 62959(618) 993-5859(618) 997-1588 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Illinois Pain Management NPPES

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

SOUTHERN ILLINOIS PAIN MANAGEMENT (NPI 1942227863) is a healthcare organization registered as a specialist in Marion, Illinois and active in the NPI registry since July 2006. The organization lists Paul Brian Juergens, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1942227863
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN ILLINOIS PAIN MANAGEMENT
Location Address3905 W ERNESTINE DRMarion, IL 62959-5800
Mailing Address3905 W Ernestine DrMarion, IL 62959-5800 · (618) 993-5859 · Fax (618) 997-1588
Phone(618) 993-5859
Fax(618) 997-1588
Organization SubpartNo
Authorized OfficialPaul Brian JuergensOwner/physician · (618) 993-5859
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 18, 2011
✔ NPI 1942227863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3905 W ERNESTINE DR, Marion, IL 62959
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Other Identifiers 2

Medicare NSC4331030001IL
Medicare PIN530750IL

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

Other Providers at the Same Location NPPES 15

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

HEARTLAND SPINE, LLC
Neurological Surgery
3905 W ERNESTINE DR
MARION, IL 62959
Williamson County (573) 331-5761
JULIE T TIU PT
Physical Therapist
3905 W ERNESTINE DR, SUITE B
MARION, IL 62959
Williamson County (618) 993-6237
MRS. KENDRA SUE SMITH MPT
Physical Therapist
3905 W ERNESTINE DR, SUITE B
MARION, IL 62959
Williamson County (618) 993-6237
ROBERT J MARSH PHD
Psychologist
3905 W ERNESTINE DR
MARION, IL 62959
Williamson County (618) 993-5859
MR. RICHARD JOSEPH GEORGE JR. M.D.
Anesthesiology (Pain Medicine)
3905 W ERNESTINE DR
MARION, IL 62959
Williamson County (618) 559-6917
VERLINDA HENSHAW OTD
Occupational Therapist
3905 W ERNESTINE DR, SUITE B
MARION, IL 62959
Williamson County (618) 993-6237
MS. LESLEE LYNN DUNCAN PA-C
Physician Assistant
3905 W ERNESTINE DR
MARION, IL 62959
Williamson County (618) 993-5859
PERFORMANCE CHIROPRACTIC OF SOUTHERN ILLINOIS LLC
Chiropractor
3905 W ERNESTINE DR, SUITE B
MARION, IL 62959
Williamson County (618) 997-3257

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 Southern Illinois Pain Management's NPI number?

The NPI number for Southern Illinois Pain Management is 1942227863. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Southern Illinois Pain Management located?

Southern Illinois Pain Management is located at 3905 W Ernestine Dr, Marion, IL 62959. The listed phone number is (618) 993-5859.

What is Southern Illinois Pain Management's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Pain Management was last updated on January 18, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.