Organization
UPPER CERVICAL CARE OF ALTON LLC
Active
Organization
UPPER CERVICAL CARE OF ALTON LLC
Active
Parent organization
PIASA PAIN CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIASA PAIN CENTER LLC
Authorized official
WYNNDEL BUENGER M.D. (MANAGER)
(618) 465-7177
Entity
Organization
Contact information
Practice address
3 PROFESSIONAL DR, SUITE B, ALTON, IL 62002-5067
(618) 465-7177
Mailing address
3 PROFESSIONAL DR, SUITE B, ALTON, IL 62002-5067
(618) 465-7177
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038008971
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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