Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great River Pain Clinic LLC

Organization Pain Clinic/Center · NPI 1134597636

Great River Pain Clinic LLC is a Pain Clinic/Center in Galesburg, Illinois. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

555 N Kellogg St
Galesburg, IL 61401-3726
Phone: (312) 613-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1134597636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjay Sundar — President · (312) 613-9999
NPI enumeratedSeptember 14, 2015
Last updated in NPPESSeptember 14, 2015
Mailing addressPo Box 689, Lake Forest, IL 60045-0689