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Organization
MIDWAY SPINE AND JOINT PAIN PHYSICIANS
Active
Organization
MIDWAY SPINE AND JOINT PAIN PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA SMIRNOVA (OFFICE MANAGER)
(708) 788-7246
Entity
Organization
Contact information
Practice address
5720 S PULASKI RD, CHICAGO, IL 60629-4435
(708) 788-7246
(708) 788-7247
Mailing address
5720 S PULASKI RD, CHICAGO, IL 60629-4435
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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