Back In Action Wellness Center in Blue Island - Chiropractor
Back In Action Wellness Center - NPI 1508872334
Back In Action Wellness Center is a Chiropractor in Blue Island, Illinois. Back In Action Wellness Center practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back In Action Wellness Center is 1508872334. The last update date is 2008-01-29.
Back In Action Wellness Center's current location address is Po Box 554, Blue Island, Illinois. You can contact this provider via phone number 7083859001 and fax number 7083852114. The mailing address for Back In Action Wellness Center is Po Box 554, Blue Island, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back In Action Wellness Center |
|---|---|
| Address | Po Box 554, Blue Island, Illinois |
| Phone Number | 7083859001 |
| Fax Number | 7083852114 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Santoliva Varsovia |
| Credentials | DC |
| Telephone Number | 7083859001 |
NPI Number Detail
| NPI Number | 1508872334 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2008-01-29 |
Provider Mailing Address Detail
| Address | Po Box 554 |
|---|---|
| City | Blue Island |
| State | Illinois (IL) |
| Post Code | 604060554 |
| Phone Number | 7083859001 |
| Fax Number | 7083852114 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| U88474 | IL | DOCTOR UPIN # | |
| 2227830 | IL | BC/BS PROVIDER # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Back In Action Wellness Center by the Centers for Medicare & Medicaid Services?
The Back In Action Wellness Center has been assigned the NPI (National Provider Identifier) 1508872334 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Back In Action Wellness Center?
The Back In Action Wellness Center is physically situated at Po Box 554, in the city of Blue Island, state of IL, with the postal code 604060554.
What is Back In Action Wellness Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Back In Action Wellness Center is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508872334 to Back In Action Wellness Center?
The Centers for Medicare & Medicaid Services assigned the 1508872334 to Back In Action Wellness Center on 2006-08-01.
As of what date were the details pertaining to Back In Action Wellness Center last refreshed?
The information related to the Back In Action Wellness Center, including its address, specialty, and other relevant details, was last updated on 2008-01-29.