Individual provider · Type 1 NPI

Mir Isaamullah

Interventional Pain Medicine Physician · Rockford, IL

NPI number 1568090041 Active

Practice location

2902 Mcfarland Rd Ste 100
Rockford, IL 61107-6801

Fax (815) 316-3483

Mailing address

9200 W Wisconsin Ave # P347
Milwaukee, WI 53226-3522

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Interventional Pain Medicine Physician Primary 208VP0014X036.174735 (IL)

Interventional Pain Medicine Physician: 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.

5 other providers at this address

Other interventional pain medicine physician providers in Rockford

See all in Rockford →

About NPI 1568090041

Mir Isaamullah's National Provider Identifier is 1568090041, issued on Mar 30, 2020. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Rockford, IL. The record was last updated on Aug 7, 2025.