Organization
MIDWEST BACK CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J MUHAMMAD D.N (CLINIC DIRECTOR)
(773) 873-5000
Entity
Organization
Contact information
Practice address
400 W 76TH ST STE 210, CHICAGO, IL 60620-1883
(773) 873-5000
Mailing address
400 W. 76TH STE. 210, CHICAGO, IL 60620
(773) 873-5000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
181000271
IL
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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