Midway Disc and Spine Center

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MIDWAY DISC AND SPINE CENTER

Practice address

6457 S Pulaski Rd
Chicago, IL 60629-5148

Phone

(773) 767-2225

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Aleman, D.C.

Title

President

Phone

(773) 767-2225

Specialties & licenses 1

Addresses

Other names 1

• Osteorthritis Center of Forest Park Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Midway Disc and Spine Center II LTD

  • Family Medicine Physician
  • Tinley Park, IL
  • NPI 1669762639

  O20080401000089

  Same enrollment

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1972621969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6457 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-767-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6457 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-767-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY DISC AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-767-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osteorthritis Center of Forest Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Midtown Sports & Spine LLC
• Lindsay K Midura, RD
• Midway Clinic SC
• Midway Cosmetic Institute, LLC
• Midway Diagnostic Center LTD
• Midway Family Dental, LLC
• Midway Foot and Ankle PC
• Midway Health Inc
• Midway Medical
• Midway Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.