Provider Demographics
NPI:1083470595
Name:MIDWEST ORTHOPAEDIC AND SPINE INC
Entity Type:Organization
Organization Name:MIDWEST ORTHOPAEDIC AND SPINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DALIP
Authorized Official - Middle Name:
Authorized Official - Last Name:PELINKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-862-6303
Mailing Address - Street 1:2816 RESERVE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60502-1343
Mailing Address - Country:US
Mailing Address - Phone:630-862-6303
Mailing Address - Fax:
Practice Address - Street 1:2816 RESERVE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-1343
Practice Address - Country:US
Practice Address - Phone:630-862-6303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty