OrganizationActive
Integrated Pain Management Sc
NPI 1104620137 · Interventional Pain Medicine Physician · Gurnee, IL
Provider details
- NPI number
- 1104620137
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Integrated Pain Management Sc
- Organization subpart
- Yes
- Authorized official
- Brenda Muniz, Credentialing Manager(773) 289-0999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
3900 Washington St Ste U
Gurnee, IL 60031-5706
Phone: (630) 629-6298
Fax: (630) 599-7149
Approximate (ZIP-level) locationGet directions
Mailing address
244 E Roosevelt Rd
Lombard, IL 60148-4647
Registry dates
- Enumerated
- 2025-04-01
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.