Provider Demographics
NPI:1336327006
Name:MIDWEST SCOLIOSIS CARE CENTERS
Entity Type:Organization
Organization Name:MIDWEST SCOLIOSIS CARE CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:800-516-6272
Mailing Address - Street 1:5237 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4210
Mailing Address - Country:US
Mailing Address - Phone:800-516-6272
Mailing Address - Fax:773-409-2112
Practice Address - Street 1:5237 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4210
Practice Address - Country:US
Practice Address - Phone:800-516-6272
Practice Address - Fax:773-409-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies