Spine Consultants, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036094206 Issued in IL

Legal business name

SPINE CONSULTANTS, LLC

Practice address

2514 Village Green PL
Champaign, IL 61822-7675

Phone

(773) 321-2800

Fax

(773) 321-2801

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Bailey Blythin

Title

Practice Administrator

Phone

(773) 321-2800

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Dana Archer, PA-C

  • Physician Assistant
  • Libertyville, IL
  • NPI 1598958282
  NPD (past)
• Alicia N Carlson, PA

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1922054246
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1639406440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 VILLAGE GREEN PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227675",
            "telephone_number": "773-321-2800",
            "fax_number": "773-321-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 VILLAGE GREEN PL",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618227675",
            "telephone_number": "773-321-2800",
            "fax_number": "773-321-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8816 W Dempster St",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "IL",
            "postal_code": "607145109",
            "country_code": "US",
            "telephone_number": "773-321-2800",
            "fax_number": "773-321-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPINE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BLYTHIN",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-321-2800"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036094206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "unknown",
            "address_1": "2514 Village Green Pl",
            "city": "Champaign",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618227675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gretchen B Sperka, DO
• Lori Lee Spicer
• Skylar Spielman
• Rochelle Spies
• Spinal Center of Champaign
• Kaylee Spinner, LPC
• Kimberly Spirek
• Sarah Spizzirri, DPM
• Kathy Sponder, M.A. CCC-SLP
• Sarah E Spotts, MSN, RN, CLC

• Orthopaedic Surgery Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.