OrganizationActive
Midwest Sports and Interventional Spine Sc
NPI 1831770510 · Interventional Pain Medicine Physician · Kenosha, WI
Provider details
- NPI number
- 1831770510
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cyril Philip, Owner(847) 343-0711
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4824 Green Bay Rd
Kenosha, WI 53144-1789
Phone: (262) 299-6199
Street-level locationGet directions
Mailing address
2070 Green Bay Rd Ste 163
Highland Park, IL 60035-2412
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2025-10-01
- Certified
- 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.