Illinois Spine Institute,s.c.

NPI 1124376736 - Specialist - 174400000X

NPI Details
NPI 1124376736
Enumeration Date 08/29/2012
Last Updated 08/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BABAK BABAK
Position PRESIDENT
Phone (847) 303-1200
Fax (847) 303-1210
Practice Location
360 STATION DR
SUITE 200
CRYSTAL LAKE IL, 60014-7978, US
Phone (847) 303-1200
Fax (847) 303-1210
Business Location
360 STATION DR
SUITE 200
CRYSTAL LAKE IL, 60014-7978, US
Phone (847) 303-1200
Fax (847) 303-1210
Toxanomy
Taxonomy Code 174400000X
License State Illinois
License Number 042620019
Remove 1124376736 NPI Number
 

According to our database, Illinois Spine Institute,s.c. NPI is 1124376736, taxonomy code is 174400000X and license number is 042620019, license state is located at Illinois. Illinois Spine Institute,s.c. physically located at 360 Station Dr, Crystal Lake IL, 60014-7978. NPI Number 1033115704 has the healthcare provider type.

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1124376736 NPI number is provided on an as is basis without warranty of any kind. 1124376736 is maintained by the National Plan & Provider Enumeration System. The contents of Illinois Spine Institute,s.c. are for informational purposes only.