OrganizationActive
Interventions in Pain Management LLC
NPI 1417370537 · Pain Clinic/Center · Rock Island, IL
Provider details
- NPI number
- 1417370537
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kerry Panozzo, Owner(309) 428-7055
- License
- 036090677 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Practice location
4110 Blackhawk Rd
Rock Island, IL 61201-7039
Phone: (309) 428-7055
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 689
Lake Forest, IL 60045-0689
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2016-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.