Hegewisch Spine Pain Center LLC

NPI #1437519410 in Berwyn, Illinois

Provider Information

NPI Number
1437519410
Entity Type
Organization
Organization Name
Hegewisch Spine Pain Center LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Mar 3, 2016
Last Updated
Mar 3, 2016

Practice Location

Address
6626 W CERMAK RD
City
Berwyn
ZIP Code
60402
Phone
(708) 788-7246

Authorized Official

Name
NATALYA SMIRNOVA
Title
OFFICE MANAGER
Phone
(708) 788-7246

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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