Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Midwest Sports and Interventional Spine SC

Organization Interventional Pain Medicine Physician · NPI 1740154947

Midwest Sports and Interventional Spine SC is an Interventional Pain Medicine Physician in Lake Geneva, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

850 Geneva Pkwy N Ste 100
Lake Geneva, WI 53147-4562
Phone: (262) 299-6199
Fax: (262) 293-6953
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1740154947
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cyril Philip — Owner · (847) 343-0711
NPI enumeratedOctober 1, 2025
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address2070 Green Bay Rd Ste 163, Highland Park, IL 60035-2412