| Midway Disc And Spine Center Ii Ltd | |
|
16650 S. Harlem Suite 4 Tinley Park IL 60477 | |
| (773) 767-2225 | |
| Not Available |
| Full Name | Midway Disc And Spine Center Ii Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 16650 S. Harlem, Tinley Park, Illinois |
| Authorized Official Name and Position | Mark A Aleman (PRESIDENT) |
| Authorized Official Contact | 7737672225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midway Disc And Spine Center Ii Ltd 6457 S Pulaski Rd Chicago IL 60629-5148 Ph: (773) 767-2225 | Midway Disc And Spine Center Ii Ltd 16650 S. Harlem Suite 4 Tinley Park IL 60477 Ph: (773) 767-2225 |
| NPI Number | 1669762639 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 5890871842 |
|---|---|
| Medicare Enrollment ID | O20080401000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669762639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark A Aleman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447374947 PECOS PAC ID: 2365528312 Enrollment ID: I20080401000077 |
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