OrganizationActive
Prairie Spine & Pain Institute of Southern Illinois, LLC
NPI 1861785354 · Orthopaedic Surgery of the Spine Physician · Marion, IL
Provider details
- NPI number
- 1861785354
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Prairie Spine & Pain Institute
- Organization subpart
- Yes
- Authorized official
- Richard Kube, President(309) 691-7774
- License
- 036112907 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1306 N Russell St
Marion, IL 62959-4570
Phone: (309) 691-7774
Fax: (309) 689-5768
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5173
Peoria, IL 61601-5173
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2015-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.