Organization
MIDWEST SPORTS AND PAIN SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APARNA TATA (OFFICE MANAGER)
(630) 378-4590
Entity
Organization
Contact information
Practice address
1999 SPRINGBROOK SQUARE DR, STE 101, NAPERVILLE, IL 60564-5946
(630) 378-4590
(630) 378-4592
Mailing address
1999 SPRINGBROOK SQUARE DR, STE 101, NAPERVILLE, IL 60564-5946
(630) 378-4590
(630) 378-4592
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036107147
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881648962
PHYSICIAN NPI NUMBER
IL
Enumeration date
06/12/2006
Last updated
12/19/2012
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