ORTHO SPINE SURGICAL LLC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ORTHO SPINE SURGICAL LLC NPI is 1386258226. The provider is registered as an organization entity type.
The provider's business location address is:
1925 E 95TH ST STE 220
CHICAGO, IL
ZIP 60617-710
Phone: (773) 761-0500
Fax: (773) 761-1355
The provider's authorized official is Mohamed S Sirajudeen .
The authorized official title is President and has the following contact phone number (773) 761-0500.
The CLIA number assigned to this NPI record is 14D2240410 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/8/2020 and was last updated on 9/8/2020.