Illinois Back & Neck Institute LLC – Ambulatory Surgical Clinic/Center, NPI 1417385790
Ambulatory Surgical Clinic/Center
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Illinois Back & Neck Institute LLC
360 W BUTTERFIELD RD STE 100
ELMHURST, IL 601265025
Phone: (630) 501-1706
Fax: (630) 501-1704
Type: Mailing
360 W BUTTERFIELD RD
SUITE 100
ELMHURST, IL 601265068
Phone: (630) 501-1706
Fax: (630) 501-1704
Type: Location
300 W BUTTERFIELD RD STE 105
ELMHURST, IL 601265017
Phone: (630) 501-1706
Fax: (630) 501-1704
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20201019001044 | O | Ambulatory Surgical Center | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 62323 | Injection of substance into lower spine canal using imaging guidance | 35 | 26 | $0 |
Insurance plans in this area (ZIP 60126)
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