Organization
MIDWEST PAIN AND SPINE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREL J. SALDANHA (CEO)
(773) 482-5800
Entity
Organization
Contact information
Practice address
4354 W 63RD ST, CHICAGO, IL 60629-5039
(773) 482-5800
(773) 362-2917
Mailing address
4354 W 63RD ST, CHICAGO, IL 60629-5039
(773) 482-5800
(773) 362-2768
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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