# MITAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Axis Spine and Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659967917
- **Authorized official:** SWASTIK SINHA M.D. (OWNER)
- **Authorized official phone:** (618) 713-5211

## Contact information

- **Practice address:** 1191 FORTUNE BLVD STE 2, SHILOH, IL 62269-7474
- **Practice address phone:** (404) 580-8511
- **Mailing address:** 1191 FORTUNE BLVD STE 2, SHILOH, IL 62269-7474
- **Mailing address phone:** (404) 580-8511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 12/21/2020
- **Last updated:** 09/02/2025