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

Mir Isaamullah

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568090041

Mir Isaamullah is a Pain Management in Rockford, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2020, 6 years ago. Practices with Rockford Pain Center Ltd, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2902 McFarland Rd Ste 100
Rockford, IL 61107-6801
Phone: (815) 316-7300
Fax: (815) 316-3483
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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 · Licence 036.174735 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568090041
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address9200 W Wisconsin Ave # P347, Milwaukee, WI 53226-3522

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2020 (6 years in practice)
Group practice Rockford Pain Center Ltd — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford