Dupage Spine Associates LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DUPAGE SPINE ASSOCIATES LLC

Practice address

900 N Franklin St
Suite 407
Chicago, IL 60610-8100

Phone

(773) 426-5742

NPI assigned

Jun 25, 2015

Last updated

Jun 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Justin Fautsch

Title

Co-Owner

Phone

(310) 795-4690

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Dupage Spine Associates LLC

  dba Dupage Spine Institute

  • Durable Medical Equipment & Medical Supplies
  • Elmhurst, IL
  • NPI 1750700779
  NPD tax ID

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1942682968",
    "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": "773-426-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N FRANKLIN ST",
            "address_2": "SUITE 407",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108100",
            "telephone_number": "773-426-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE SPINE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "FAUTSCH",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "310-795-4690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750700779",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Duong
• Jasmine Erica Duong
• Ky Hong Duong, MHP
• Tan Duong, MD
• Thomas Duong, MD
• Shaquan Dupart
• Eric Dupaya, SA-C
• Sabine Dupiton, PA-C
• Melissa Ellen Duplantis, PSYD
• Frank Dupont

• Durable Medical Equipment & Medical Supplies in Chicago, IL
• Providers in Chicago, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.