# MIDWEST BACK CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508003922
- **Authorized official:** DR. ROBERT J MUHAMMAD D.N (CLINIC DIRECTOR)
- **Authorized official phone:** (773) 873-5000

## Contact information

- **Practice address:** 400 W 76TH ST STE 210, CHICAGO, IL 60620-1883
- **Practice address phone:** (773) 873-5000
- **Mailing address:** 400 W. 76TH STE. 210, CHICAGO, IL 60620
- **Mailing address phone:** (773) 873-5000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 181000271 | IL | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 01/08/2009