Spinal Center of Champaign

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

038003750 Issued in IL

Legal business name

SPINAL CENTER OF CHAMPAIGN

Practice address

2009 Fox Dr
Suite C
Champaign, IL 61820-7363

Phone

(217) 351-8046

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Jami S Gossett

Title

Owner

Phone

(217) 351-8040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1801277884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 FOX DR",
            "address_2": "SUITE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207363",
            "telephone_number": "217-351-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 FOX DR",
            "address_2": "SUITE C",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207363",
            "telephone_number": "217-351-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CENTER OF CHAMPAIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "GOSSETT",
        "authorized_official_first_name": "JAMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-351-8040"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "038003750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey A. Spencer, PA-C
• Gretchen B Sperka, DO
• Lori Lee Spicer
• Skylar Spielman
• Rochelle Spies
• Spine Consultants, LLC
• Kaylee Spinner, LPC
• Kimberly Spirek
• Sarah Spizzirri, DPM
• Kathy Sponder, M.A. CCC-SLP

• Medical Specialty Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.