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ILLINOIS VALLEY SPINE INSTITUTE LLC
NPI 1336428192
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Peru, IL

Active since August 11, 2011
4231 PROGRESS BLVD, 4, PERU, IL 61354(815) 780-8627(815) 780-8630 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illinois Valley Spine Institute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS VALLEY SPINE INSTITUTE LLC (NPI 1336428192) is a healthcare organization registered as an orthopaedic surgery of the spine in Peru, Illinois and active in the NPI registry since August 2011. The organization lists Jason Bergandi, Orthopaedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1336428192
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameILLINOIS VALLEY SPINE INSTITUTE LLC
Location Address4231 PROGRESS BLVD, 4Peru, IL 61354-1193
Mailing Address4231 Progress Blvd, 4Peru, IL 61354-1193 · (815) 780-8627 · Fax (815) 780-8630
Phone(815) 780-8627
Fax(815) 780-8630
Organization SubpartNo
Authorized OfficialJason BergandiOrthopaedic Surgeon · (815) 780-8627
Enumeration DateAugust 11, 2011
Last NPPES UpdateNovember 28, 2011
✔ NPI 1336428192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in IL · 036-114114
Definition
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.
4231 PROGRESS BLVD, Peru, IL 61354
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Other Identifiers 3

OtherIL6014IL · Medicare
Medicaid036-114114IL
Medicare PIN819300026IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOIRA SIBBALUCA
Physical Therapist
4231 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 326-5924
MR. DENNIS NINK P.T.
Physical Therapist
4231 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 220-8808
DR. RAKESH K GARG MD
Psychiatry & Neurology (Neurology)
4231 PROGRESS BLVD
PERU, IL 61354
Lasalle County (815) 223-7144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Valley Spine Institute LLC's NPI number?

The NPI number for Illinois Valley Spine Institute LLC is 1336428192. It was assigned to this organization in the NPPES registry on August 11, 2011.

Where is Illinois Valley Spine Institute LLC located?

Illinois Valley Spine Institute LLC is located at 4231 Progress Blvd 4, Peru, IL 61354. The listed phone number is (815) 780-8627.

What is Illinois Valley Spine Institute LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

When was this NPI record last updated?

The NPPES record for Illinois Valley Spine Institute LLC was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.