JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.

WOOD RIVER, IL
NPI1255609574
Entity TypeOrganization
Authorized ContactBUD CHOMHIRUN
Medical Director
618-259-3321
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2011-12-01
Last Update Date2012-01-03
Business Address
JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
1702 VAUGHN RD
WOOD RIVER, IL 62095-1898
Phone number: 618-259-3321
Mailing Address
JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809