Illinois Valley Spine Institute LLC

NPI #1336428192 in Peru, Illinois

Provider Information

NPI Number
1336428192
Entity Type
Organization
Organization Name
Illinois Valley Spine Institute LLC
Primary Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Enumeration Date
Aug 11, 2011
Last Updated
Nov 28, 2011

Practice Location

Address
4231 PROGRESS BLVD
Address 2
4
City
Peru
ZIP Code
61354-1193
Phone
(815) 780-8627

Authorized Official

Name
JASON BERGANDI, M.D.
Title
ORTHOPAEDIC SURGEON
Phone
(815) 780-8627

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the SpineOrthopaedic Surgery of the Spine

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