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

Midwest Pain & Spine Center, LLC

Organization Specialist · NPI 1679944334

Midwest Pain & Spine Center, LLC is a Specialist in Peoria, 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.

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Practice location Address checks out

5401 N Knoxville Ave Ste 416
Peoria, IL 61614-5098
Phone: (309) 692-7246
Fax: (309) 692-7226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1679944334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gayle Mucciante — Practice Administrator · (309) 692-7246
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 23, 2015
Mailing address5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098

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