OrganizationActive
Jerseyville Pain Management Center, S.c.
NPI 1255609574 · Non-Pharmacy Dispensing Site · Wood River, IL
Provider details
- NPI number
- 1255609574
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Jerseyville Pain Management Center, S.c.
- Organization subpart
- Yes
- Authorized official
- Bud Chomhirun, Medical Director(618) 259-3321
Specialties & taxonomies
Suppliers
Practice location
1702 Vaughn Rd
Wood River, IL 62095-1898
Phone: (618) 259-3321
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2011-12-01
- Last updated
- 2012-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.