ILLINOIS REGIONAL PAIN INSTITUTE, S.C.
NPI 1952337453
Specialist in Peoria, IL

Q: What is Illinois Regional Pain Institute, S.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 25, 2006

5401 N KNOXVILLE AVE, SUITE #416, PEORIA, IL 61614(309) 692-7246(309) 692-7226 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Illinois Regional Pain Institute, S.c. NPPES

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

ILLINOIS REGIONAL PAIN INSTITUTE, S.C. (NPI 1952337453) is a healthcare organization registered as a specialist in Peoria, Illinois and active in the NPI registry since June 2006. The organization lists Gayle Mucciante, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1952337453

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameILLINOIS REGIONAL PAIN INSTITUTE, S.C.

Location Address5401 N KNOXVILLE AVE, SUITE #416Peoria, IL 61614-5098

Mailing Address5401 N Knoxville Ave, Suite #416Peoria, IL 61614-5098 · (309) 692-7246 · Fax (309) 692-7226

Phone(309) 692-7246

Fax(309) 692-7226

Organization SubpartNo

Authorized OfficialGayle MucciantePractice Administrator · (309) 692-7246

Enumeration DateJune 25, 2006

Last NPPES UpdateJanuary 3, 2014

✔ NPI 1952337453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036114669

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5401 N KNOXVILLE AVE, Peoria, IL 61614

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Other Identifiers 2

Medicare PIN213765IL

Medicare UPINH91167IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YIBING LI MD

Physical Medicine & Rehabilitation

5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614

Peoria County (309) 689-8888

PATTI L ALLY

Audiologist-Hearing Aid Fitter

5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614

Peoria County (309) 282-0887

PROCTOR HEALTH SYSTEMS

Clinic/Center (Medical Specialty)

5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614

Peoria County (309) 691-7800

MS. BARBARA J NALL APN

Nurse Practitioner (Women's Health)

5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614

Peoria County (309) 692-5100

SUSAN GWILLIM PT

Physical Therapist

5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614

Peoria County (309) 693-2244

MR. KEVIN M HENRY MD

Anesthesiology (Pain Medicine)

5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614

Peoria County (309) 692-7246

MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS

Nurse Practitioner (Family)

5401 N KNOXVILLE AVE
PEORIA, IL 61614

Peoria County (309) 691-1069

SUSAN J COLE, MD & ASSOCIATES

Clinic/Center (Medical Specialty)

5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614

Peoria County (309) 691-2311

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 Illinois Regional Pain Institute, S.C.'s NPI number?

The NPI number for Illinois Regional Pain Institute, S.C. is 1952337453. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Illinois Regional Pain Institute, S.C. located?

Illinois Regional Pain Institute, S.C. is located at 5401 N Knoxville Ave Suite #416, Peoria, IL 61614. The listed phone number is (309) 692-7246.

What is Illinois Regional Pain Institute, S.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Illinois Regional Pain Institute, S.C. was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.