Organization
CHICAGO SPINE AND JOINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIS GOEDERT (CEO)
(773) 416-1013
Entity
Organization
Contact information
Practice address
1890 SILVER CROSS BLVD STE 315, NEW LENOX, IL 60451-9605
(815) 416-1224
(815) 416-1220
Mailing address
907 N ELM ST STE 101, HINSDALE, IL 60521-3644
(708) 482-4500
(708) 482-4502
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104082320
NPI
IL
01
—
1477081263
NPI
IL
01
—
1538285614
NPI
IL
01
—
1780214718
NPI
IL
01
—
1891113247
NPI
IL
01
—
1992758965
NPI
IL
Enumeration date
06/10/2020
Last updated
01/06/2026
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