ILLINOIS BACK & NECK INSTITUTE LLC (NPI# 1417385790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417385790 |
| Entity Type | Organization |
| Organization Name | ILLINOIS BACK & NECK INSTITUTE LLC |
| Other Organization Name | ILLINOIS BACK & NECK INSTITUTE LLC |
| Practice Address |
360 W Butterfield Rd Suite 100 Elmhurst IL 60126-5068 |
| Practice Telephone | 6309478286 |
| Practice Fax Number | 3312253087 |
| Mailing Telephone | 6309478286 |
| Mailing Fax Number | 3312253087 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | DR. NEEMA BAYRAN (MANAGING MEMBER) |
| Authorized Official Telephone | 3126248364 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
036103729 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Illinois Back & Neck Institute LLC | Doing Business As Name - Organization |
| Street Address |
360 W BUTTERFIELD RD SUITE 100 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-5068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475794 | Raymond V Janevicius | Plastic Surgery | 360 W Butterfield Rd, Ste 230, Elmhurst, IL 60126-5000 | 2005-05-23 |
| 1700282803 | Susan R Jahn | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-11-17 |
| 1114333861 | Achieve Recovery and Rehab, Inc. | Clinic/Center | 360 W Butterfield Rd, Elmhurst, IL 60126-5068 | 2014-07-02 |
| 1821401316 | Orthopedic Specialists, S.c. | Physician Assistant | 360 W Butterfield Rd, #160, Elmhurst, IL 60126-5068 | 2014-06-03 |
| 1730519141 | Adventist Health Partners, Inc | Family Medicine | 360 W Butterfield Rd, Ste 140, Elmhurst, IL 60126-5068 | 2013-11-21 |
| 1245664598 | Steven Welch | Social Worker | 360 W Butterfield Rd, Suite 340, Elmhurst, IL 60126-5068 | 2013-08-22 |
| 1821353673 | Samantha B. Conrad M.d.s.c | Dermatology | 360 W Butterfield Rd, Suite 240, Elmhurst, IL 60126-5068 | 2012-07-09 |
| 1396002309 | American Diagnostic Mri LLC | Clinic/Center | 360 W Butterfield Rd, Suite 130, Elmhurst, IL 60126-5068 | 2012-04-13 |
| 1326313511 | Thomas L Nelson Dds Mba Ltd | Dentist | 360 W Butterfield Rd, Suite 180, Elmhurst, IL 60126-5068 | 2012-03-20 |
| 1689901175 | Flexeon Rehabilitation of Elmhurst LLC | Physical Therapist | 360 W Butterfield Rd, Ste 150, Elmhurst, IL 60126-5068 | 2009-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188000 | Elmhurst Medical & Surgical Center Corporation | Clinic/Center | 340 W Butterfield Rd Ste 1b, Elmhurst, IL 60126-5047 | 2010-11-19 |
| 1720085384 | Elmhurst Outpatient Surgery Center LLC | Clinic/Center | 1200 S York Rd, Ste 1400, Elmhurst, IL 60126-5633 | 2005-06-28 |
| 1639668726 | Elmhurst Orthopaedic Surgical Facility, LLC | Clinic/Center | 300 W Butterfield Rd, Elmhurst, IL 60126-5017 | 2018-05-04 |
| 1205234143 | River North Surgical Suites Inc. | Clinic/Center | 340 W Butterfield Rd, Suite 1b, Elmhurst, IL 60126-5047 | 2014-12-09 |
| 1306977061 | Elmhurst Medsurge Ltd | Clinic/Center | 401 N York St, Ul2, Elmhurst, IL 60126-5510 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245375 | Specialty Surgicare, Ltd | Clinic/Center | 500 W Golf Rd Ste 102, Schaumburg, IL 60195-3503 | 2020-04-29 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1922664622 | Premier Cardiac Surgery Center, LLC | Clinic/Center | 11560 S Kedzie Ave Ste 102, Merrionette Park, IL 60803-4517 | 2019-05-17 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1477017333 | Ontario Street Operatory | Clinic/Center | 22 W Ontario St, Chicago, IL 60654-5169 | 2019-01-24 |
| 1407329501 | Chicago Cosmetic Surgery Institute | Clinic/Center | 2335 S Michigan Ave, Chicago, IL 60616-2104 | 2019-01-10 |
| 1538647474 | Palos Health Surgery Center, LLC | Clinic/Center | 15300 West Ave Ste 260, Orland Park, IL 60462-4600 | 2018-08-02 |
| 1013493824 | Ann & Robert H. Lurie Children's Hospital of Chicago | Clinic/Center | 1121 Techny Rd, Northbrook, IL 60062-5503 | 2018-07-15 |
| 1619469244 | Rush Oak Brook Surgery Center, LLC | Clinic/Center | 2011 York Road, Suite 3000, Oak Brook, IL 60521 | 2018-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.