Provider Demographics
NPI:1760620264
Name:MIDWEST SPINAL DEVICES, LLC
Entity Type:Organization
Organization Name:MIDWEST SPINAL DEVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BENDIKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-363-3306
Mailing Address - Street 1:720 BROM CT STE 101
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6533
Mailing Address - Country:US
Mailing Address - Phone:630-363-3306
Mailing Address - Fax:630-355-8983
Practice Address - Street 1:720 BROM CT STE 101
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6533
Practice Address - Country:US
Practice Address - Phone:630-363-3306
Practice Address - Fax:630-355-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies