Organization Active NPI

Dupage Spine Associates LLC

  • Durable Medical Equipment & Medical Supplies
  • Elmhurst, IL
National Provider Identifier
1750700779
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DUPAGE SPINE ASSOCIATES LLC
Doing business as
Dupage Spine Institute
Practice address
1200 S York St Ste 4280
Elmhurst, IL 60126-5632
Phone
(331) 462-1700
NPI assigned
Apr 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Mr. Geoffrey R. Dixon, M.D.
Title
Partner
Phone
(312) 752-0974

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1200 S York St Ste 4280
Elmhurst, IL 60126-5632

Mailing address

900 N Franklin St
Suite 407
Chicago, IL 60610-8100
Phone (331) 462-1700

Other names 1

  • Dupage Spine Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dupage Spine Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1750700779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N FRANKLIN ST",
            "address_2": "SUITE 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108100",
            "telephone_number": "331-462-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S YORK ST STE 4280",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265632",
            "telephone_number": "331-462-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE SPINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-08",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "312-752-0974",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dupage Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.