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General NPI Number Information
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NPI Number | 1124376736
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Entity Type | Organization
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Legal Business Name | ILLINOIS SPINE INSTITUTE,S.C.
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 415 E CONGRESS PKWY STE E
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-6248
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Country | US
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Telephone | 847-519-9700
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Fax | 847-519-9760
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Provider Business Mailing Address
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Address Line | 500 W GOLF RD STE 101
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City | SCHAUMBURG
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State | IL
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Zip | 60195-3503
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Country | US
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Telephone | 847-519-9700
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Fax | 847-519-9760
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Authorized Official
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Title or Position | PRESIDENT
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Name | BABAK LAMI
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Credential | M.D.
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Telephone | 847-519-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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