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ILLINOIS BACK & NECK INSTITUTE PLLC NPI 1417385790


NPI Information

NPI: 1417385790
Provider Name: ILLINOIS BACK & NECK INSTITUTE, PLLC

Doing Business As: ILLINOIS BACK & NECK INSTITUTE LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
360 W BUTTERFIELD RD
SUITE 100
ELMHURST, IL
ZIP 60126
Phone: (630) 501-1706
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ILLINOIS BACK & NECK INSTITUTE, PLLC is an ambulatory surgical clinic center in Elmhurst, IL. ILLINOIS BACK & NECK INSTITUTE, PLLC NPI is 1417385790. The provider is registered as an organization entity type.
The provider Is Doing Business As Illinois Back & Neck Institute Llc.

The provider's business location address is:

360 W BUTTERFIELD RD
SUITE 100
ELMHURST, IL
ZIP 60126-068
Phone: (630) 501-1706
Fax: (630) 501-1704

The provider's authorized official is Neema Bayran .
The authorized official title is C.e.o. and has the following contact phone number (312) 593-1580.

The enumeration date for this NPI number is 10/23/2013 and was last updated on 11/30/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical036103729ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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