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GREAT RIVER PAIN CENTER LLC NPI 1073865291


NPI Information

NPI: 1073865291
Provider Name: GREAT RIVER PAIN CENTER LLC
Classification: Pain Medicine - 208VP0000X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1634 AVENUE OF THE CITIES
MOLINE, IL
ZIP 61265
Phone: (309) 762-9711
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GREAT RIVER PAIN CENTER LLC is a pain medicine pain medicine in Moline, IL. The provider is pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. GREAT RIVER PAIN CENTER LLC NPI is 1073865291. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1634 AVENUE OF THE CITIES
MOLINE, IL
ZIP 61265-860
Phone: (309) 762-9711
Fax: (309) 762-9747

The provider's authorized official is Sanjay Sundar .
The authorized official title is Owner and has the following contact phone number (312) 613-9999.

The enumeration date for this NPI number is 10/11/2012 and was last updated on 10/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain Medicine036118384ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036118384OTHERILLINOISLICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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