Organization · Type 2 NPI
Illinois Spine Institute,s.c.
Orthopaedic Surgery of the Spine Physician · Crystal Lake, IL
Practice location
415 E Congress Pkwy Ste E
Crystal Lake, IL 60014-6248
Fax (847) 519-9760
Mailing address
500 W Golf Rd Ste 101
Schaumburg, IL 60195-3503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery of the Spine Physician Primary | 207XS0117X | None listed |
| Interventional Pain Medicine Physician | 208VP0014X | None listed |
Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
About NPI 1124376736
Illinois Spine Institute,s.c.'s National Provider Identifier is 1124376736, issued on Aug 29, 2012. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 29, 2025.