Organization · Type 2 NPI

Midwest Sports and Interventional Spine SC

Interventional Pain Medicine Physician · Lake Geneva, WI

NPI number 1740154947 Active

Practice location

850 Geneva Pkwy N Ste 100
Lake Geneva, WI 53147-4562

Fax (262) 293-6953

Mailing address

2070 Green Bay Rd Ste 163
Highland Park, IL 60035-2412

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

2 other providers at this address

About NPI 1740154947

Midwest Sports and Interventional Spine SC's National Provider Identifier is 1740154947, issued on Oct 1, 2025. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Lake Geneva, WI. The record was last updated on Oct 1, 2025.