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Organization
MIDWEST ORTHOPEDIC NETWORK KANSAS
Active
Organization
MIDWEST ORTHOPEDIC NETWORK KANSAS
Active
Other names
MON Kansas
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE ISAILY (CHIEF EXECUTIVE OFFICER)
(312) 951-8200
Entity
Organization
Contact information
Practice address
6500 W 143RD STREET, OVERLAND PARK, KS 66223
(312) 951-8200
(312) 981-1293
Mailing address
710 N DEARBORN ST, CHICAGO, IL 60654-5900
(312) 951-8200
(312) 981-1293
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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