Back Pain Center, Inc.

NPI #1285600247 in Belleville, Illinois

Provider Information

NPI Number: 1285600247
Entity Type: Organization
Organization Name: Back Pain Center, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Feb 28, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2516 MASCOUTAH AVE
City: Belleville
State: Illinois
ZIP Code: 62220-3468
Phone: (618) 233-4200

Authorized Official

Name: DR. JASON CHRISTOPHER WALKER, D.C.
Title: OWNER
Phone: (618) 233-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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