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Egyptian Spine Clinic
Orthopedic Surgery of the Spine Physician in Mount Vernon, Illinois
NPI 1932572872

Egyptian Spine Clinic is a Orthopedic Surgery of the Spine Physician based in Mount Vernon, IL and is specialized in Orthopedic Surgery of the Spine. Egyptian Spine Clinic practices in Mount Vernon, IL. The NPI Number for Egyptian Spine Clinic is 1932572872 and holds a License No. 036.136254 (Illinois).

The current practice location address for Egyptian Spine Clinic is 412 S 34Th St Ste 101, Mount Vernon, IL and can be reached out via phone at 618-231-6121.

Location: 412 S 34Th St Ste 101, Mount Vernon, IL, 62864-6021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932572872
Provider Name
Egyptian Spine Clinic
Credential
Provider Entity Type
Organization
Address
412 S 34Th St Ste 101, Mount Vernon, IL, 62864-6021
Phone Number
618-231-6121
Fax Number
Provider Enumeration Date
10/31/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036136254 05 IL
institution
Provider Business Practice Location Address Details
Address
412 S 34Th St Ste 101
City
Mount Vernon
State
Illinois
Zip
62864-6021
Phone Number
618-231-6121
Fax Number
person
Provider Business Mailing Address Details
Address
412 S 34Th St Ste 101
City
Mount Vernon
State
Illinois
Zip
62864-6021
Phone Number
618-231-6121
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
036.136254 (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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