OrganizationActive
Great River Pain Clinic LLC
NPI 1134597636 · Pain Clinic/Center · Galesburg, IL
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.