OrganizationActive
Great River Pain Center LLC
NPI 1073865291 · Pain Medicine Physician · Moline, IL
Great River Pain Center LLC is a Pain Medicine Physician organization in Moline, IL (NPI 1073865291).
Provider details
- NPI number
- 1073865291
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sanjay Sundar, Owner(312) 613-9999
- License
- 036118384 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1634 Avenue of the Cities
Moline, IL 61265-4860
Phone: (309) 762-9711
Fax: (309) 762-9747
Street-level locationGet directions
Mailing address
1634 Avenue of the Cities
Moline, IL 61265-4860
Registry dates
- Enumerated
- 2012-10-11
- Last updated
- 2012-10-11
Frequently asked questions
- What is Great River Pain Center LLC's NPI number?
- Great River Pain Center LLC's National Provider Identifier (NPI) is 1073865291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great River Pain Center LLC?
- Great River Pain Center LLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Great River Pain Center LLC located?
- Great River Pain Center LLC's practice location on file with NPPES is 1634 Avenue of the Cities, Moline, IL 61265-4860.
- What is Great River Pain Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Great River Pain Center LLC is (309) 762-9711.
- Who is the authorized official for Great River Pain Center LLC?
- The authorized official listed on Great River Pain Center LLC's NPPES record is Sanjay Sundar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great River Pain Center LLC's NPI active?
- Yes — Great River Pain Center LLC's NPI (1073865291) is active in the NPPES registry as of the last update on 2012-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.