OrganizationActive
Great River Pain Clinic LLC
NPI 1134597636 · Pain Clinic/Center · Galesburg, IL
Great River Pain Clinic LLC is a Pain Clinic/Center organization in Galesburg, IL (NPI 1134597636).
Provider details
- NPI number
- 1134597636
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sanjay Sundar, President(312) 613-9999
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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 N Kellogg St
Galesburg, IL 61401-3726
Phone: (312) 613-9999
Street-level locationGet directions
Mailing address
Po Box 689
Lake Forest, IL 60045-0689
Registry dates
- Enumerated
- 2015-09-14
- Last updated
- 2015-09-14
Frequently asked questions
- What is Great River Pain Clinic LLC's NPI number?
- Great River Pain Clinic LLC's National Provider Identifier (NPI) is 1134597636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great River Pain Clinic LLC?
- Great River Pain Clinic LLC is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Great River Pain Clinic LLC located?
- Great River Pain Clinic LLC's practice location on file with NPPES is 555 N Kellogg St, Galesburg, IL 61401-3726.
- What is Great River Pain Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Great River Pain Clinic LLC is (312) 613-9999.
- Who is the authorized official for Great River Pain Clinic LLC?
- The authorized official listed on Great River Pain Clinic LLC's NPPES record is Sanjay Sundar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great River Pain Clinic LLC's NPI active?
- Yes — Great River Pain Clinic LLC's NPI (1134597636) is active in the NPPES registry as of the last update on 2015-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.