Midwest Minimally Invasive Spine Specialists Sc

NPI 1144205600 - Neurological Surgery - 207T00000X

NPI Details
NPI 1144205600
Enumeration Date 12/07/2005
Last Updated 03/19/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICK J PATRICK
Position OWNER
Phone (708) 390-2290
Fax (708) 390-2299
Practice Location
19110 DARVIN DR
SUITE C
MOKENA IL, 60448-8595, US
Phone (708) 390-2290
Fax (708) 390-2299
Business Location
PO BOX 4037
AURORA IL, 60507-4037, US
Phone (708) 390-2290
Fax (708) 390-2299
Toxanomy
Taxonomy Code 207T00000X
License State Illinois
License Number 042617626
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According to our database, Midwest Minimally Invasive Spine Specialists Sc NPI is 1144205600, taxonomy code is 207T00000X and license number is 042617626, license state is located at Illinois. Midwest Minimally Invasive Spine Specialists Sc physically located at 19110 Darvin Dr, Mokena IL, 60448-8595. NPI Number 1033115704 has the healthcare provider type.

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1144205600 NPI number is provided on an as is basis without warranty of any kind. 1144205600 is maintained by the National Plan & Provider Enumeration System. The contents of Midwest Minimally Invasive Spine Specialists Sc are for informational purposes only.