MIDWEST SPORTS AND INTERVENTIONAL SPINE SC

KENOSHA, WI
NPI1831770510
Entity TypeOrganization
Authorized ContactCYRIL N PHILIP
Owner
847-343-0711
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2021-04-15
Last Update Date2025-10-01
Business Address
MIDWEST SPORTS AND INTERVENTIONAL SPINE SC
4824 GREEN BAY RD
KENOSHA, WI 53144-1789
Phone number: 262-299-6199
Mailing Address
MIDWEST SPORTS AND INTERVENTIONAL SPINE SC
2070 GREEN BAY RD STE 163
HIGHLAND PARK, IL 60035-2412
Phone number: 262-299-6199
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