THE SPINE CENTER, S.C (NPI# 1952307092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952307092 |
| Entity Type | Organization |
| Organization Name | THE SPINE CENTER, S.C |
| Other Organization Name | LUTHERAN GENERAL SPINE CENTER, S.C |
| Practice Address |
1875 Dempster St Ste 425 Park Ridge IL 60068-1129 |
| Practice Telephone | 8476989330 |
| Practice Fax Number | 8476981429 |
| Mailing Telephone | 8476989330 |
| Mailing Fax Number | 8476981429 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | DR. DAVID SPENCER (PRESIDENT) |
| Authorized Official Telephone | 8476989330 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
========= | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE RAILROAD | CJ0089 | 01 |
| Other Name | Type Code |
|---|---|
| Lutheran General Spine Center, S.C | Former Legal Business Name - Organization |
| Spine Center | Other Name - Individual/Organization |
| Street Address |
1875 DEMPSTER ST STE 425 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124680640 | Heather Ann-marie Owens | Physical Therapist | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-07-04 |
| 1467012187 | Eric Joseph Leadley | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2019-06-14 |
| 1619495868 | Kelly Ryan Warf | Audiologist | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-09-07 |
| 1164946919 | Olga Gilman | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-08-02 |
| 1275060972 | Anne Frances Wright | Nurse Practitioner | 1875 Dempster St, Park Ridge, IL 60068-1186 | 2017-05-12 |
| 1558892166 | Maricar A Virina | Obstetrics & Gynecology | 1875 Dempster St, Ste. 330, Park Ridge, IL 60068 | 2017-03-24 |
| 1649711995 | Brian Saliba | Obstetrics & Gynecology | 1875 Dempster St, Suite 330, Park Ridge, IL 60068-1186 | 2017-03-19 |
| 1174069363 | Laura Hunnell | Physician Assistant | 1875 Dempster St, Suite 410, Park Ridge, IL 60068-1186 | 2017-01-11 |
| 1871035121 | Rosina Hannilora Victor | Nurse Practitioner | 1875 Dempster St, #465, Park Ridge, IL 60068-1186 | 2016-11-17 |
| 1063860807 | Cardiology, Electrophysiology and Pacemaker Specialists Ltd | Internal Medicine | 1875 Dempster St, Suite 150, Park Ridge, IL 60068-1186 | 2016-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760708895 | Steven Jay Fineberg | Orthopaedic Surgery | 1875 Dempster St, Ste 425, Park Ridge, IL 60068-1129 | 2010-04-14 |
| 1740325927 | Avi Bernstein | Orthopaedic Surgery | 1875 Dempster St, Suite 425, Park Ridge, IL 60068-1186 | 2007-02-21 |
| 1275678716 | David Spencer | Orthopaedic Surgery | 1875 Dempster St, Suite 425, Park Ridge, IL 60068-1186 | 2007-02-21 |
| 1205880820 | Christopher J Bergin | Orthopaedic Surgery | 1875 Dempster St, Ste 425, Park Ridge, IL 60068-1129 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093213365 | Joint Replacement Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950b, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1063920940 | Spine Cin of Chicago LLC | Orthopaedic Surgery | 1900 E Golf Rd Ste 950a, Schaumburg, IL 60173-5034 | 2018-01-13 |
| 1851819221 | Bernard Rerri | Orthopaedic Surgery | 938 M L King Dr, Centralia, IL 62801-3058 | 2017-09-06 |
| 1932572872 | Egyptian Spine Clinic | Orthopaedic Surgery | 1007 M L King Dr, Centralia, IL 62801-3001 | 2015-10-31 |
| 1073873675 | Joseph Patrick Brindise | Orthopaedic Surgery | 500 W Golf Rd Ste 101, Schaumburg, IL 60195-3503 | 2012-05-17 |
| 1861785354 | Prairie Spine & Pain Institute of Southern Illinois, LLC | Orthopaedic Surgery | 1306 N Russell St, Marion, IL 62959-4570 | 2011-05-17 |
| 1760626717 | Anthony S Rinella M D S C | Orthopaedic Surgery | 12701 W. 143rd Street, Suite 110, Homer Glen, IL 60491-7721 | 2009-04-21 |
| 1265602965 | Brandy Arnett | Orthopaedic Surgery | 800 Biesterfield Rd Ste 565, Eberle Prof Bldg, Elk Grove, IL 60007-3362 | 2008-03-10 |
| 1609940972 | Giri T Gireesan | Orthopaedic Surgery | 676 North St Clair St, #1777, Chicago, IL 60611 | 2006-11-20 |
| 1700981107 | Carl N Graf IIi | Orthopaedic Surgery | 1990 E Algonquin Road, Suite 160, Schaumburg, IL 60173 | 2006-09-13 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.