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Illinois Valley Spine Institute Llc
Orthopedic Surgery of the Spine Physician in Peru, Illinois
NPI 1336428192

Illinois Valley Spine Institute Llc is a Orthopedic Surgery of the Spine Physician based in Peru, IL and is specialized in Orthopedic Surgery of the Spine. Illinois Valley Spine Institute Llc practices in Peru, IL. The NPI Number for Illinois Valley Spine Institute Llc is 1336428192 and holds a License No. 036-114114 (Illinois).

The current practice location address for Illinois Valley Spine Institute Llc is 4231 Progress Blvd, Peru, IL and can be reached out via phone at 815-780-8627 and via fax at 815-780-8630. You can also correspond with Illinois Valley Spine Institute Llc through the mailing address at 4231 PROGRESS BLVD, PERU, IL - 61354-1193 (mailing address contact number: 815-780-8627).

Location: 4231 Progress Blvd, Peru, IL, 61354-1193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336428192
Provider Name
Illinois Valley Spine Institute Llc
Credential
Provider Entity Type
Organization
Address
4231 Progress Blvd, Peru, IL, 61354-1193
Phone Number
815-780-8627
Fax Number
815-780-8630
Provider Enumeration Date
08/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-114114 05 IL
IL6014 01 IL MEDICARE
institution
Provider Business Practice Location Address Details
Address
4231 Progress Blvd
City
Peru
State
Illinois
Zip
61354-1193
Phone Number
815-780-8627
Fax Number
815-780-8630
person
Provider Business Mailing Address Details
Address
4231 Progress Blvd
City
Peru
State
Illinois
Zip
61354-1193
Phone Number
815-780-8627
Fax Number
815-780-8630
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
036-114114 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic 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.
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