Organization
DUPAGE SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN FAUTSCH (CO-OWNER)
(310) 795-4690
Entity
Organization
Contact information
Practice address
900 N FRANKLIN ST, SUITE 407, CHICAGO, IL 60610-8100
(773) 426-5742
Mailing address
900 N FRANKLIN ST, SUITE 407, CHICAGO, IL 60610-8100
(773) 426-5742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750700779
NPI
IL
Enumeration date
06/25/2015
Last updated
06/25/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up