| Spine And Joint Rehabilitation Services | |
|
1415 S 5th Ave Maywood IL 60153-2128 | |
| (708) 345-6630 | |
| (708) 345-9950 |
| Full Name | Spine And Joint Rehabilitation Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1415 S 5th Ave, Maywood, Illinois |
| Authorized Official Name and Position | Darwin Minnis (PRESIDENT) |
| Authorized Official Contact | 7083456630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine And Joint Rehabilitation Services 1415 S 5th Ave Maywood IL 60153-2128 Ph: (708) 345-6630 | Spine And Joint Rehabilitation Services 1415 S 5th Ave Maywood IL 60153-2128 Ph: (708) 345-6630 |
| NPI Number | 1093878829 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093878829 | NPI | - | NPPES |
| 0001621245 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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