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Organization

ILLINOIS BONE & SPINE INSTITUTE

Active
Other names
Illinois Back & Neck Institute LLC
Organization subpart
No

Provider details

NPI number
Authorized official
NEEMA BAYRAN MD (C.E.O.)
(312) 593-1580
Entity
Organization

Contact information

Practice address
300 W BUTTERFIELD RD STE 105, ELMHURST, IL 60126-5017
(630) 501-1706
(630) 501-1704
Mailing address
300 W BUTTERFIELD RD STE 105, ELMHURST, IL 60126-5017
(630) 501-1706
(630) 501-1704

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
036103729
IL

Other

Enumeration date
10/23/2013
Last updated
06/10/2025
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