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

Therapeutic Spine and Pain Center, Ltd

Organization Interventional Pain Medicine Physician · NPI 1124787940

Therapeutic Spine and Pain Center, Ltd is an Interventional Pain Medicine Physician in Bloomington, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3801 General Electric Rd Ste 4
Bloomington, IL 61704-4193
Phone: (309) 319-2341
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1124787940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Carmichael — President · (309) 824-8670
NPI enumeratedDecember 9, 2021
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address19646 Briar Dr, Bloomington, IL 61705-4030

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