GREAT RIVER PAIN CLINIC LLC
NPI 1134597636
Clinic/Center - Pain in Galesburg, IL

Q: What is Great River Pain Clinic LLC's NPI number?

The NPI number for Great River Pain Clinic LLC is 1134597636. It was assigned to this organization in the NPPES registry on September 14, 2015.

Q: What is Great River Pain Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Active since September 14, 2015

555 N KELLOGG ST, GALESBURG, IL 61401(312) 613-9999 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Great River Pain Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT RIVER PAIN CLINIC LLC (NPI 1134597636) is a healthcare organization registered as a pain in Galesburg, Illinois and active in the NPI registry since September 2015. The organization lists Sanjay Sundar, President, as its authorized official.

NPPES Registry Identity

NPI1134597636

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NameGREAT RIVER PAIN CLINIC LLC

Location Address555 N KELLOGG STGalesburg, IL 61401-3726

Mailing AddressPo Box 689Lake Forest, IL 60045-0689

Phone(312) 613-9999

Organization SubpartNo

Authorized OfficialSanjay SundarPresident · (312) 613-9999

Enumeration DateSeptember 14, 2015

✔ NPI 1134597636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

555 N KELLOGG ST, Galesburg, IL 61401

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great River Pain Clinic LLC's NPI number?

The NPI number for Great River Pain Clinic LLC is 1134597636. It was assigned to this organization in the NPPES registry on September 14, 2015.

Where is Great River Pain Clinic LLC located?

Great River Pain Clinic LLC is located at 555 N Kellogg St, Galesburg, IL 61401. The listed phone number is (312) 613-9999.

What is Great River Pain Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Great River Pain Clinic LLC was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.