OrganizationActive
Midwest Pain & Spine Center, LLC
NPI 1679944334 · Specialist · Peoria, IL
Midwest Pain & Spine Center, LLC is a Specialist organization in Peoria, IL (NPI 1679944334).
Provider details
- NPI number
- 1679944334
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Gayle Mucciante, Practice Administrator(309) 692-7246
Specialties & taxonomies
Other Service Providers
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
5401 N Knoxville Ave
Suite 416
Peoria, IL 61614-5098
Phone: (309) 692-7246
Fax: (309) 692-7226
Street-level locationGet directions
Mailing address
5401 N Knoxville Ave
Peoria, IL 61614-5098
Registry dates
- Enumerated
- 2015-10-07
- Last updated
- 2015-10-23
Frequently asked questions
- What is Midwest Pain & Spine Center, LLC's NPI number?
- Midwest Pain & Spine Center, LLC's National Provider Identifier (NPI) is 1679944334, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Midwest Pain & Spine Center, LLC?
- Midwest Pain & Spine Center, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Midwest Pain & Spine Center, LLC located?
- Midwest Pain & Spine Center, LLC's practice location on file with NPPES is 5401 N Knoxville Ave, Peoria, IL 61614-5098.
- What is Midwest Pain & Spine Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Midwest Pain & Spine Center, LLC is (309) 692-7246.
- Who is the authorized official for Midwest Pain & Spine Center, LLC?
- The authorized official listed on Midwest Pain & Spine Center, LLC's NPPES record is Gayle Mucciante, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Midwest Pain & Spine Center, LLC's NPI active?
- Yes — Midwest Pain & Spine Center, LLC's NPI (1679944334) is active in the NPPES registry as of the last update on 2015-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.