SOUTHERN ILLINOIS PAIN MANAGEMENT is a specialist in Marion, IL. The provider is 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. SOUTHERN ILLINOIS PAIN MANAGEMENT NPI is 1942227863. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3905 W ERNESTINE DR
MARION, IL
ZIP 62959-800
Phone: (618) 993-5859
Fax: (618) 997-1588
The provider's authorized official is Paul Brian Juergens .
The authorized official title is Owner/physician and has the following contact phone number (618) 993-5859.
The CLIA number assigned to this NPI record is 14D2007024 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/16/2006 and was last updated on 1/18/2011.