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
- 9638123953
- Provider type
- DME Supplier - Physician - Orthopedic/Orthopedic Surgery, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 3
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| 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 RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Illinois Spine Institute,S.C.
- Orthopaedic Surgery of the Spine Physician
- Crystal Lake, IL
- NPI 1124376736
-
Illinois Spine Institute,S.C.
- Orthopaedic Surgery of the Spine Physician
- Schaumburg, IL
- NPI 1710028428
Practice locations
- Schaumburg, IL2
- Crystal Lake, IL2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).
-
Alexander Forowycz, M.D.
- Anesthesiology Physician
- Hoffman Estates, IL
- NPI 1043229958
-
Carl N Graf III, MD
- Orthopaedic Surgery of the Spine Physician
- Schaumburg, IL
- NPI 1700981107
-
Babak Lami, M.D.
- Orthopaedic Surgery of the Spine Physician
- Schaumburg, IL
- NPI 1750422465
-
Abraham Mathew, M.D.
- Anesthesiology Physician
- Hoffman Estates, IL
- NPI 1780640557
-
Mallikarjun Gollapally Reddy, M.D.
- Anesthesiology Physician
- Schaumburg, IL
- NPI 1790049310
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.