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

Illinois Regional Pain Institute, SC

Organization Specialist · NPI 1952337453

Illinois Regional Pain Institute, SC is a Specialist in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

5401 N Knoxville Ave Ste #416
Peoria, IL 61614-5098
Phone: (309) 692-7246
Fax: (309) 692-7226
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 036114669 (IL)

Record details

NPI number1952337453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gayle Mucciante — Practice Administrator · (309) 692-7246
NPI enumeratedJune 25, 2006
Last updated in NPPESJanuary 3, 2014
Mailing address5401 N Knoxville Ave, Suite #416, Peoria, IL 61614-5098

Other providers in Peoria