# ORTHOPEDIC & SPINE SURGERY ASSOC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619017993
- **Authorized official:** MS. SUSAN RYAN (BUSINESS MANAGER)
- **Authorized official phone:** (847) 931-5300

## Contact information

- **Practice address:** 2971 W ALGONQUIN RD, SUITE 101A, ALGONQUIN, IL 60102-9406
- **Practice address phone:** (847) 854-8590
- **Practice address fax:** (847) 854-8592
- **Mailing address:** 2350 ROYAL BLVD, 200, ELGIN, IL 60123-4719
- **Mailing address phone:** (847) 931-5300
- **Mailing address fax:** (847) 931-9072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020