Illinois Spine Institute,S.C.

A Medicare group practice based in Crystal Lake, IL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638123953), with 5 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638123953The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
3
Group size
3 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20121011000191 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1710028428
O20140826002387 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1124376736
O20050309000962 IL Part B Supplier - Clinic/Group Practice 1710028428

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 5

Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).

Sources for this page