OrganizationActive
Community Pain Consultants, Ltd
NPI 1053623801 · Specialist · Kankakee, IL
Provider details
- NPI number
- 1053623801
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- James Kelly, Owner(815) 932-7146
- License
- 036065101 (IL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 W Court St
Suite 100
Kankakee, IL 60901-3664
Phone: (815) 932-7246
Fax: (815) 932-7307
Street-level locationGet directions
Mailing address
555 W Court St
Kankakee, IL 60901-3664
Registry dates
- Enumerated
- 2010-07-09
- Last updated
- 2010-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.