Organization
ELITE SPINE CARE OF KANSAS CITY, LLC
Active
Other names
Glenn M. Amundson
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN AMUNDSON (OWNER)
(913) 649-7300
Entity
Organization
Contact information
Practice address
4911 W 87TH TER, PRAIRIE VILLAGE, KS 66207-2271
(913) 649-7300
Mailing address
180 N MICHIGAN AVE STE 500, CHICAGO, IL 60601-7426
(312) 796-9483
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/22/2020
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