OrganizationActive
Prairie Spine and Pain Institute Sc
NPI 1518111376 · Orthopaedic Surgery of the Spine Physician · Peoria, IL
Provider details
- NPI number
- 1518111376
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Kube, Owner(309) 691-7774
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
7620 N University St
Ste. 104
Peoria, IL 61614-1297
Phone: (309) 691-7774
Street-level locationGet directions
Mailing address
Po Box 5173
Peoria, IL 61601-5173
Additional practice locations (1)
- 1002 N Pentecost DrMarion, IL 62959-5820Phone: (309) 691-7774
Registry dates
- Enumerated
- 2008-11-06
- Last updated
- 2022-01-04
- Certified
- 2022-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.