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 1831770510

Midwest Sports and Interventional Spine SC is an Interventional Pain Medicine Physician in Kenosha, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4824 Green Bay Rd
Kenosha, WI 53144-1789
Phone: (262) 299-6199
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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 number1831770510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cyril Philip — Owner · (847) 343-0711
NPI enumeratedApril 15, 2021
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address2070 Green Bay Rd Ste 163, Highland Park, IL 60035-2412

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