Organization
SOUTHERN ILLINOIS PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BRIAN JUERGENS M.D (OWNER/PHYSICIAN)
(618) 993-5859
Entity
Organization
Contact information
Practice address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 993-5859
(618) 997-1588
Mailing address
3905 W ERNESTINE DR, MARION, IL 62959-5800
(618) 993-5859
(618) 997-1588
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/16/2006
Last updated
01/18/2011
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