Illinois Valley Spine Institute Llc is a Spine Orthopedic Clinic in Peru, Illinois. It is situated at 4231 Progress Blvd, 4, Peru and its contact number is 815-780-8627. The authorized person of Illinois Valley Spine Institute Llc is Jason Bergandi
who is Orthopaedic Surgeon of the clinic and their contact number is 815-780-8627. Primary license number for Illinois Valley Spine Institute Llc is 036-114114 (Orthopaedic Surgery (Orthopaedic Surgery of the Spine)) in Illinois.
Complete Clinic Profile:
Illinois Valley Spine Institute Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Orthopaedic Surgery of the Spine
Clinic Address:
4231 Progress Blvd, 4, Peru, Illinois, 61354-1193
Phone:
815-780-8627
Fax:
815-780-8630
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Jason Bergandi
Position:
Orthopaedic Surgeon
Contact Number:
815-780-8627
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Illinois Valley Spine Institute Llc Clinic are as mentioned below.
NPI Number:
1336428192
NPI Enumeration Date:
11 Aug, 2011
NPI Last Update On:
28 Nov, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Illinois Valley Spine Institute Llc are as mentioned below.
Specialization
License Number
State
Status
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
036-114114
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
036-114114
Medicaid
Illinois
IL6014
Other
Illinois
Medicare
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Illinois Valley Spine Institute Llc 4231 Progress Blvd, 4 Peru, Illinois
Zip:
61354-1193
Phone Number:
815-780-8627
Fax Number:
815-780-8630
Patients can reach Illinois Valley Spine Institute Llc at 4231 Progress Blvd, 4, Peru, Illinois or can call to book an appointment on 815-780-8627. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
Comments/ Reviews:
Spine Orthopedic: An orthopaedic surgeon who deals with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.