Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spine Consultants, LLC

Organization Orthopaedic Surgery Physician · NPI 1639406440

Spine Consultants, LLC is an Orthopaedic Surgery Physician in Champaign, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2514 Village Green Pl
Champaign, IL 61822-7675
Phone: (773) 321-2800
Fax: (773) 321-2801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8816 W Dempster St, Niles, IL 60714-5109 — (773) 321-2800

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 036094206 (IL)

Record details

NPI number1639406440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bailey Blythin — Practice Administrator · (773) 321-2800
NPI enumeratedNovember 16, 2009
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023
Mailing address2514 Village Green Pl, Champaign, IL 61822-7675

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