Organization Active NPI

Spine and Joint Center of Illinois PLLC

  • Sports Medicine (Family Medicine) Physician
  • Arlington Heights, IL
National Provider Identifier
1871201319
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SPINE AND JOINT CENTER OF ILLINOIS PLLC
Practice address
3115 N Wilke Rd Ste C
Arlington Heights, IL 60004-1451
Phone
(224) 329-5602
NPI assigned
Nov 14, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Migena Zaimi
Title
Manager
Phone
(224) 329-5602

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Chiropractor 111N00000X NU
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

3115 N Wilke Rd Ste C
Arlington Heights, IL 60004-1451

Mailing address

3115 N Wilke Rd Ste C
Arlington Heights, IL 60004-1451
Phone (224) 329-5602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230117001314 IL Part B Supplier - Clinic/Group Practice 4688045396 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

3115 N Wilke Rd
Ste C
Arlington Hts, IL 60004
Phone (224) 329-5602

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1871201319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 N WILKE RD STE C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041451",
            "telephone_number": "224-329-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N WILKE RD STE C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041451",
            "telephone_number": "224-329-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND JOINT CENTER OF ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "ZAIMI",
        "authorized_official_first_name": "MIGENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "224-329-5602"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.