Chicago Spine and Joint, S.C.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CHICAGO SPINE AND JOINT, S.C.

Practice address

1802 N Division St Ste 605
Morris, IL 60450-3133

Phone

(815) 416-1224

Fax

(815) 416-1220

NPI assigned

Jun 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexis Goedert

Title

Ceo

Phone

(815) 416-1224

Specialties & licenses 1

Addresses

Other identifiers 6

Tax ID family

G L Koehn MD Associates SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chicago Spine and Joint, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • New Lenox, IL
  • NPI 1255956777
  NPD tax ID
• Chicago Spine and Joint, S.C.

  • Pain Medicine (Anesthesiology) Physician
  • Orland Park, IL
  • NPI 1407713613
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Chicago Spine and Joint, S.C.

  • Interventional Pain Medicine Physician
  • Hinsdale, IL
  • NPI 1164451308

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1093330516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N ELM ST STE 101",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213644",
            "telephone_number": "708-482-4500",
            "fax_number": "708-482-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 605",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503133",
            "telephone_number": "815-416-1224",
            "fax_number": "815-416-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1890 Silver Cross Blvd Ste 315",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519605",
            "country_code": "US",
            "telephone_number": "815-416-1224",
            "fax_number": "815-416-1220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO SPINE AND JOINT, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "GOEDERT",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-416-1224"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477081263",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538285614",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1104082320",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891113247",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780214718",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992758965",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea L Chen, MD
• Horner Chen Jr., MD
• Suzan S Cheng, MD
• Mary T. Cherian, M.D.
• Kathleen Sue Cherven, LCPC
• Joongsik Y Cho, MD
• Lisa Ann Ciucci O'Grady, DMD
• Kendall Claire, DPT
• Rachel L Colby, PAC
• Amanda E Comer, LCSW

• Pain Medicine (Anesthesiology) Physician in Morris, IL
• Providers in Morris, IL by specialty
• Pain Medicine (Anesthesiology) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.