Organization
MICRO NEURO SPINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY BARRIGA (AGENT)
(847) 232-3800
Entity
Organization
Contact information
Practice address
1530 S STATE ST STE C0003, CHICAGO, IL 60605-2964
(847) 232-3800
(773) 409-5710
Mailing address
920 N NOBLE ST UNIT 2, CHICAGO, IL 60642-5303
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
08/31/2020
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