ILLINOIS VALLEY SPINE INSTITUTE LLC is an orthopaedic surgery of the spine orthopaedic surgery in Peru, IL. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. ILLINOIS VALLEY SPINE INSTITUTE LLC NPI is 1336428192. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4231 PROGRESS BLVD
4
PERU, IL
ZIP 61354-193
Phone: (815) 780-8627
Fax: (815) 780-8630
The provider's authorized official is Jason Bergandi .
The authorized official title is Orthopaedic Surgeon and has the following contact phone number (815) 780-8627.
The CLIA number assigned to this NPI record is 14D2079229 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/11/2011 and was last updated on 11/28/2011.