NPI | 1588319719 |
---|---|
Other Name | MIDWEST SPORTS AND PAIN SPECIALISTS, P.C. |
Former Legal Business Name | MSPS SURGICAL INC. |
Entity Type | Organization |
Authorized Contact | FRONT OFFICE MANAGER Office Manager 630-915-2622 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2022-02-16 |
Last Update Date | 2023-03-06 |