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Organization

MIDWAY SPINE AND JOINT PAIN PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALYA SMIRNOVA (OFFICE MANAGER)
(708) 788-7246
Entity
Organization

Contact information

Practice address
5720 S PULASKI RD, CHICAGO, IL 60629-4435
(708) 788-7246
(708) 788-7247
Mailing address
5720 S PULASKI RD, CHICAGO, IL 60629-4435

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Enumeration date
07/12/2019
Last updated
07/12/2019
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