OrganizationActive
Interventional Pain Management of Northern Illinois
NPI 1255754362 · Pain Medicine (Anesthesiology) Physician · Rockford, IL
Provider details
- NPI number
- 1255754362
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Andrew Kong, Owner/President(815) 316-0221
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Chiropractor111N00000X
Chiropractic Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
4338 Morsay Dr
Lower Level
Rockford, IL 61107-4877
Phone: (815) 397-8500
Fax: (815) 397-8588
Street-level locationGet directions
Mailing address
4338 Morsay Dr
Rockford, IL 61107-4877
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2015-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.