Organization Active NPI

Illinois Spine Institute,S.C.

  • Orthopaedic Surgery of the Spine Physician
  • Crystal Lake, IL
National Provider Identifier
1124376736
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
ILLINOIS SPINE INSTITUTE,S.C.
Practice address
415 E Congress Pkwy Ste E
Crystal Lake, IL 60014-6248
Phone
(847) 519-9700
Fax
(847) 519-9760
NPI assigned
Aug 29, 2012
Organization subpart
Yes
Parent organization
ILLINOIS SPINE INSTITUTE,S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Babak Lami, M.D.NPI 1750422465
Title
President
Phone
(847) 519-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

415 E Congress Pkwy Ste E
Crystal Lake, IL 60014-6248

Mailing address

500 W Golf Rd Ste 101
Schaumburg, IL 60195-3503
Phone (847) 519-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050309000962 IL Part B Supplier - Clinic/Group Practice 9638123953 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crystal Lake, IL; Schaumburg, IL
O20140826002387 IL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638123953 Practice locations: Crystal Lake, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Illinois Spine Institutesc

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHBAA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1124376736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GOLF RD STE 101",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953503",
            "telephone_number": "847-519-9700",
            "fax_number": "847-519-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E CONGRESS PKWY STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146248",
            "telephone_number": "847-519-9700",
            "fax_number": "847-519-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SPINE INSTITUTE,S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLINOIS SPINE INSTITUTE,S.C.",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "LAMI",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-519-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.