| Entity Name: | PRAIRIE SPINE & PAIN INSTITUTE OF SOUTHERN ILLINOIS, LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 13 May 2011 |
| Company Number: | LLC_03597997 |
| File Number: | 03597997 |
| Type of Management: | Manager Managed |
| Date Status Change: | 23 Apr 2024 |
| Address | 1002 N PENTECOST ROAD, MARION, 62959, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RICHARD A KUBE II, M.D., 7620 N UNIVERSITY ST STE 104, PEORIA, 61614 | Agent | 2016-05-12 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| KUBE, M.D., RICHARD A II, 212 W. RAVINWOODS RD, PEORIA, IL, 61615 | Manager | 2024-04-23 |
Date of last update: 16 Jan 2025
