Organization
ORTHOSPINE MONITORING 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DELISIO-ELLIOT (OFFICE ADMINISTRATOR)
(219) 797-7463
Entity
Organization
Contact information
Practice address
1448 PARK WEST CIR, MUNSTER, IN 46321-3976
(630) 608-3298
(219) 310-8951
Mailing address
PO BOX 29650, PHOENIX, AZ 85038-9650
(855) 864-4322
(219) 310-8951
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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