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Midwest Minimally Invasive Spine Specialists Sc
Orthopedic Surgery of the Spine Physician in Mokena, Illinois
NPI 1144205600

Midwest Minimally Invasive Spine Specialists Sc is a Orthopedic Surgery of the Spine Physician based in Aurora, IL and is specialized in Orthopedic Surgery of the Spine. Midwest Minimally Invasive Spine Specialists Sc practices in Mokena, IL. The NPI Number for Midwest Minimally Invasive Spine Specialists Sc is 1144205600 and holds a License No. 042617626 (Illinois).

The current practice location address for Midwest Minimally Invasive Spine Specialists Sc is 19110 Darvin Dr, Mokena, IL and can be reached out via phone at 708-390-2290 and via fax at 708-390-2299.

Location: 19110 Darvin Dr, Mokena, IL, 60507-4037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144205600
Provider Name
Midwest Minimally Invasive Spine Specialists Sc
Credential
Provider Entity Type
Organization
Address
19110 Darvin Dr, Mokena, IL, 60507-4037
Phone Number
708-390-2290
Fax Number
708-390-2299
Provider Enumeration Date
12/07/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DO9194 01 IL RR MEDICARE
01632167 01 BC/BS
CK7919 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
19110 Darvin Dr
City
Mokena
State
Illinois
Zip
60448-8595
Phone Number
708-390-2290
Fax Number
708-390-2299
person
Provider Business Mailing Address Details
Address
19110 Darvin Dr
City
Mokena
State
Illinois
Zip
60448-8595
Phone Number
708-390-2290
Fax Number
708-390-2299
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
50004759A (Indiana)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
042617626 (Illinois)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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