Dane Jack Church
MD | Adult Reconstructive Orthopaedic Surgery | 12+ years Exp
Medicare Enrolled 1301 S Koke Mill Rd, Springfield
Illinois, 62711-9252
217-547-9100 217-547-9236
Maps & DirectionsDane Jack Church is a Springfield, Illinois based orthopedic surgeon with 12 years of experience in Adult Reconstructive Orthopaedic Surgery. He completed his graduation from Other in 2013. He is also affiliated with hospitals like Memorial Medical Center and St Johns Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dane Jack Church is 036148467 for Adult Reconstructive Orthopaedic Surgery in Illinois.
Dane Jack Church deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Dane Jack Church speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Adult Reconstructive Orthopaedic Surgery |
| Credentials: | MD |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1301 S Koke Mill Rd, Springfield,
Illinois, 62711-9252 |
| Phone: | 217-547-9100 |
| Fax: | 217-547-9236 |
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 are as mentioned below.
| PAC ID: | 8123320389 |
| Enrollment ID: | I20190712002290 |
| NPI Number: | 1790128387 |
| NPI Enumeration Date: | 12 Apr, 2013 |
| NPI Last Update On: | 13 Apr, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dane Jack Church are as mentioned below.
| License Number | Specialization | State | Status | |
| 036148467 | Adult Reconstructive Orthopaedic Surgery | Illinois | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Memorial Medical Center (140148) | Springfield, IL | Acute Care Hospital |
| St Johns Hospital (140053) | Springfield, IL | Acute Care Hospital |
| (141352) | | |
| Passavant Area Hospital(140058) | Jacksonville, IL | Acute Care Hospital |
| Abraham Lincoln Memorial Hospital (141322) | Lincoln, IL | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dane Jack Church is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Orthopaedic Center Of Il (0143299628) | 28 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1301 S Koke Mill Rd,
Springfield, Illinois |
| Zip: | 62711-9252 |
| Phone Number: | 217-547-9100 |
| Fax Number: | 217-547-9236 |
Patients can reach Dane Jack Church at
1301 S Koke Mill Rd, Springfield, Illinois or can
call to book an appointment on 217-547-9100.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.