MEDICARE: MIDWEST SCOLIOSIS CARE CENTERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1336327006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDWEST SCOLIOSIS CARE CENTERS

Provider Business Mailing Address
First Line	:	5237 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4210
Country	:	US
Telephone Number	:	800-516-6272
Fax Number	:	773-409-2112

Provider Business Practice Location Address
First Line	:	5237 W BELMONT AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-4210
Country	:	US
Telephone Number	:	800-516-6272
Fax Number	:	773-409-2112

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TOM PAPPAS
Credential	:	D.C.
Telephone Number	:	800-516-6272

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	02/05/2008

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