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Organization

Advanced Interventional Spine and Pain Institute. LLC

NPI Record: ActivePain Medicine — Interventional Pain Medicine
NPI1679878698
Breese, Illinois

Provider's NPPES record last updated: January 30, 2023

Overview

Entity Type
Organization
NPI
1679878698
Primary Specialty
Pain Medicine — Interventional Pain Medicine
Practice Location
Breese, Illinois
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 6:44 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pain Medicine

    Interventional Pain Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

    Taxonomy code 208VP0014X
  • Physical Medicine & Rehabilitation

    Allopathic & Osteopathic Physicians

    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

    Taxonomy code 208100000X
  • Physical Medicine & Rehabilitation

    Pain Medicine

    Allopathic & Osteopathic Physicians

    A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

    Taxonomy code 2081P2900X
  • Clinic/Center

    Pain

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QP3300X

Provider-Reported License Information

Pain Medicine (Illinois)
036111184
Physical Medicine & Rehabilitation (Illinois)
036111184
Physical Medicine & Rehabilitation (Illinois)
36111184
Clinic/Center (Illinois)
036111184
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

4700 Memorial Drive, Suite 230 Pain Center

4700 Memorial Drive, Memorial Hospital

Breese, Illinois 62226

Phone: (618) 257-5902

Record Information

Enumeration Date
January 22, 2011
Provider's NPPES Record Last Updated
January 30, 2023
Certification Date
January 30, 2023
NPISignal NPPES Dataset
August 2026

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