Organization
ST. ANTHONY'S SPINE & JOINT INSTITUTE, P.C.
Active
Other names
Sports & Spinal Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELVIN J. D'SOUZA D.C. (PRESIDENT)
(312) 842-2447
Entity
Organization
Contact information
Practice address
804 W 31ST ST, CHICAGO, IL 60608-5829
(312) 842-2447
Mailing address
804 W 31ST ST, CHICAGO, IL 60608-5829
(312) 842-2447
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
060009430
IL
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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