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MIDWAY DISC AND SPINE CENTER NPI 1972621969


NPI Information

NPI: 1972621969
Provider Name: MIDWAY DISC AND SPINE CENTER

Doing Business As: OSTEORTHRITIS CENTER OF FOREST PARK

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6457 S PULASKI RD
CHICAGO, IL
ZIP 60629
Phone: (773) 767-2225
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MIDWAY DISC AND SPINE CENTER is a multi-specialty clinic center in Chicago, IL. MIDWAY DISC AND SPINE CENTER NPI is 1972621969. The provider is registered as an organization entity type.
The provider Is Doing Business As Osteorthritis Center Of Forest Park.

The provider's business location address is:

6457 S PULASKI RD
CHICAGO, IL
ZIP 60629-148
Phone: (773) 767-2225

The provider's authorized official is Mark A Aleman .
The authorized official title is President and has the following contact phone number (773) 767-2225.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/6/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1216314MEDICARE PINILLINOIS
26489670001MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.