# JERSEYVILLE PAIN MANAGEMENT CENTER, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811262728
- **Authorized official:** DR. JAMES A BRIGGS D.C. (PRESIDENT)
- **Authorized official phone:** (618) 259-3321

## Contact information

- **Practice address:** 1702 VAUGHN RD, WOOD RIVER, IL 62095-1898
- **Practice address phone:** (618) 259-3321
- **Mailing address:** PO BOX 649, WOOD RIVER, IL 62095-0649
- **Mailing address phone:** (618) 259-3321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 038004303 | IL | — |
| 111N00000X | Chiropractor | 038009545 | IL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 36048379 | IL | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | 36048379 | IL | — |
| 225100000X | Physical Therapist | 70004750 | IL | — |

## Other

- **Enumeration date:** 03/12/2012
- **Last updated:** 03/12/2012