OrganizationActive
Therapeutic Spine and Pain Center, Ltd.
NPI 1124787940 · Interventional Pain Medicine Physician · Bloomington, IL
Provider details
- NPI number
- 1124787940
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Craig Carmichael, President(309) 824-8670
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
3801 General Electric Rd Ste 4
Bloomington, IL 61704-4193
Phone: (309) 319-2341
Street-level locationGet directions
Mailing address
19646 Briar Dr
Bloomington, IL 61705-4030
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2022-01-12
- Certified
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.