Egyptian Spine Clinic

LBN: Egyptian Spine Clinic
Egyptian Spine Clinic is an health care organization with primary practice located at 412 S 34Th St Ste 101 , Mount Vernon IL 62864-6021. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as the primary health care specialty. Egyptian Spine Clinic can be contacted via phone (618) 231-6121, or through Mohamed, Ahmed Salem via phone (618) 231-6121.

Contact Information

Primary practice address
412 S 34Th St Ste 101 Mount Vernon IL 62864-6021
Phone: (618) 231-6121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Ahmed Salem Doctor of Medicine (MD)
Phone: (618) 231-6121

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036.136254 Illinois

Profile Details

NPI number 1932572872
LBN Legal business name Egyptian Spine Clinic
DBA Doing business as
Authorized official Mohamed, Ahmed Salem Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2015
Last updated Nov 30th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932572872 NPPES
Illinois MEDICAID 036136254

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