NPIMap

Organization Active NPI

Dupage Spine and Orthopaedics

  • Orthopaedic Surgery of the Spine Physician
  • Hinsdale, IL
National Provider Identifier
1275167306
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
DUPAGE SPINE AND ORTHOPAEDICS
Practice address
950 N York Rd Ste 109
Hinsdale, IL 60521-8608
Phone
(630) 528-2000
NPI assigned
Feb 27, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Kevin Koutsky, MDNPI 1043225899
Title
Owner
Phone
(630) 528-2000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

950 N York Rd Ste 109
Hinsdale, IL 60521-8608

Mailing address

950 N York Rd Ste 109
Hinsdale, IL 60521-8608
Phone (630) 528-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address liaison@imsillinois.com Direct
Direct Messaging Address liaison@imsillinois.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1275167306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N YORK RD STE 109",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218608",
            "telephone_number": "630-528-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N YORK RD STE 109",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218608",
            "telephone_number": "630-528-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE SPINE AND ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "KOUTSKY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-528-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liaison@imsillinois.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3006 Coolidge St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605232205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "liaison@imsillinois.com",
            "affiliation": "N",
            "address_1": "950 N York Rd Ste 109",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605218608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.