OrganizationActive
Midwest Sports and Interventional Spine Sc
NPI 1740154947 · Interventional Pain Medicine Physician · Lake Geneva, WI
Provider details
- NPI number
- 1740154947
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Cyril Philip, Owner
Practice location
850 Geneva Pkwy N Ste 100
Lake Geneva, WI 53147-4562
Phone: (262) 299-6199
Fax: (262) 293-6953
Mailing address
2070 Green Bay Rd Ste 163
Highland Park, IL 60035-2412
Registry dates
- Enumerated
- 2025-10-01
- Last updated
- 2025-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.