Prairie Spine & Pain Institute of Southern Illinois, LLC

NPI #1861785354 in Marion, Illinois

Provider Information

NPI Number
1861785354
Entity Type
Organization
Organization Name
Prairie Spine & Pain Institute of Southern Illinois, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PRAIRIE SPINE & PAIN INSTITUTE
Primary Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date
May 17, 2011
Last Updated
Jan 23, 2015

Practice Location

Address
1306 N RUSSELL ST
City
Marion
ZIP Code
62959-4570
Phone
(309) 691-7774

Authorized Official

Name
DR. RICHARD A KUBE II, MD
Title
PRESIDENT
Phone
(309) 691-7774

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the SpineOrthopaedic Surgery of the Spine

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