Midway Spine and Joint Pain Physicians

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MIDWAY SPINE AND JOINT PAIN PHYSICIANS

Practice address

5720 S Pulaski Rd
Chicago, IL 60629-4435

Phone

(708) 788-7246

Fax

(708) 788-7247

NPI assigned

Jul 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natalya Smirnova

Title

Office Manager

Phone

(708) 788-7246

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1689226318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294435",
            "telephone_number": "708-788-7246",
            "fax_number": "708-788-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY SPINE AND JOINT PAIN PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "SMIRNOVA",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-788-7246"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midway Medical
• Midway Medical Center
• Midway Medical Center
• Midway Pediatrics LLC
• Midway Pediatrics LLC
• Midway Surgical Services, LLC
• Midway Turning Point Community Center
• Midway Turning Point Community Center
• Midway Turning Point Community Center
• Midway Turning Point Community Center

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.