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Organization
STRONG SPINE INSTITUTE, PLLC
Active
Organization
STRONG SPINE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY NOVOSELETSKY MD (MANAGER)
(773) 682-7661
Entity
Organization
Contact information
Practice address
64 SHELDON LN, HIGHLAND PARK, IL 60035-5132
(773) 682-7661
Mailing address
64 SHELDON LN, HIGHLAND PARK, IL 60035-5132
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
07/24/2021
Last updated
07/26/2021
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