OrganizationActive
Illinois Valley Spine Institute LLC
NPI 1336428192 · Orthopaedic Surgery of the Spine Physician · Peru, IL
Provider details
- NPI number
- 1336428192
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Bergandi, Orthopaedic Surgeon(815) 780-8627
- License
- 036-114114 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4231 Progress Blvd
4
Peru, IL 61354-1193
Phone: (815) 780-8627
Fax: (815) 780-8630
Street-level locationGet directions
Mailing address
4231 Progress Blvd
Peru, IL 61354-1193
Registry dates
- Enumerated
- 2011-08-11
- Last updated
- 2011-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.