# MIDWEST ORTHOPEDIC NETWORK KANSAS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MON Kansas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205313566
- **Authorized official:** ROSEMARIE ISAILY (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (312) 951-8200

## Contact information

- **Practice address:** 6500 W 143RD STREET, OVERLAND PARK, KS 66223
- **Practice address phone:** (312) 951-8200
- **Practice address fax:** (312) 981-1293
- **Mailing address:** 710 N DEARBORN ST, CHICAGO, IL 60654-5900
- **Mailing address phone:** (312) 951-8200
- **Mailing address fax:** (312) 981-1293

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | NULL | Yes |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/19/2018
- **Last updated:** 07/19/2018
