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14D2130419 CLIA NUMBER - ILLINOIS BACK AND NECK INSTITUTE LLC

Laboratory Demographics

CLIA Number: 14D2130419

Facility Name: ILLINOIS BACK AND NECK INSTITUTE LLC

Facility Address:
360 W BUTTERFIELD RD, STE 100
ELMHURST, IL
ZIP 60126
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Facility Phone Number: 630 947-8286

Facility Type: Other - OFFICE BASED SURGERY

Certificate Type: Waiver
NPI Number: 1144834680

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 14D2130419
LAB Type Other - OFFICE BASED SURGERY
Facility Name ILLINOIS BACK AND NECK INSTITUTE LLC
Street 360 W BUTTERFIELD RD, STE 100
City ELMHURST
State IL
ZIP 60126
Phone 630 947-8286
CertificateType 4
CertificateEffectiveDate 5/8/2023
CertificateExpirationDate 5/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024