Illinois Valley Spine Institute LLC
Illinois Valley Spine Institute LLC provides Orthopaedic Surgery of the Spine Physician services in Peru, Illinois. Licensed in Illinois. Registered with an NPI since 2011.
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4231 Progress Blvd 4Peru, IL 61354-1193 Not confirmed with CMS for 14 years — call before visiting
Phone: (815) 780-8627
Fax: (815) 780-8630
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery of the Spine Physician (primary) | Taxonomy 207XS0117X · Licence 036-114114 (IL) |
|---|
Record details
| NPI number | 1336428192 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Bergandi — Orthopaedic Surgeon · (815) 780-8627 |
| NPI enumerated | August 11, 2011 |
| Last updated in NPPES | November 28, 2011 |
| Mailing address | 4231 Progress Blvd, 4, Peru, IL 61354-1193 |