PRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC

MARION, IL
NPI1861785354
Entity TypeOrganization
Authorized ContactRICHARD A KUBE
President
309-691-7774
Organization Subpart ?Yes
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: IL  036112907)
Enumeration Date2011-05-17
Last Update Date2015-01-23
Business Address
PRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC
1306 N RUSSELL ST
MARION, IL 62959-4570
Phone number: 309-691-7774
Mailing Address
PRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC
PO BOX 5173
PEORIA, IL 61601-5173
Phone number: 309-691-7774