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Organization
MITAS LLC
Active
Organization
MITAS LLC
Active
Other names
Axis Spine and Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
SWASTIK SINHA M.D. (OWNER)
(618) 713-5211
Entity
Organization
Contact information
Practice address
1191 FORTUNE BLVD STE 2, SHILOH, IL 62269-7474
(404) 580-8511
Mailing address
1191 FORTUNE BLVD STE 2, SHILOH, IL 62269-7474
(404) 580-8511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/21/2020
Last updated
09/02/2025
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