OrganizationActive
Medical Pain Management Services, Ltd.
NPI 1447276480 · Pain Clinic/Center · Rockford, IL
Provider details
- NPI number
- 1447276480
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bryan Newman, Director of Accounting(815) 877-4848
- License
- 060-005593 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1235 N Mulford Rd
Rockford, IL 61107-3879
Phone: (815) 397-8400
Fax: (815) 229-0050
Approximate (ZIP-level) locationGet directions
Mailing address
1235 N Mulford Rd
Rockford, IL 61107-3879
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2016-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.