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Organization
MIDWEST SPINE PAIN AND ORTHOPEDIC CENTER LLC
Active
Organization
MIDWEST SPINE PAIN AND ORTHOPEDIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALYA SMIRNOVA (OFFICE MANAGER)
(773) 402-3292
Entity
Organization
Contact information
Practice address
8630 S PULASKI RD, CHICAGO, IL 60652
(773) 767-2273
Mailing address
PO BOX 56769, CHICAGO, IL 60656
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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