Back To Life, P.C. Of Il in Chicago - Chiropractor
Back To Life, P.C. Of Il - NPI 1790905420
Back To Life, P.C. Of Il is a Chiropractor in Chicago, Illinois. Back To Life, P.C. Of Il practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back To Life, P.C. Of Il is 1790905420. The last update date is 2020-08-22.
Back To Life, P.C. Of Il's current location address is 1401 E 87th St, Chicago, Illinois. You can contact this provider via phone number 7737213000. The mailing address for Back To Life, P.C. Of Il is 1401 E 87th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Life, P.C. Of Il |
|---|---|
| Address | 1401 E 87th St, Chicago, Illinois |
| Phone Number | 7737213000 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER, |
|---|---|
| Authorized Official Name | Jenkins-Collins Emlen Sharon |
| Credentials | D.C. |
| Telephone Number | 7737213000 |
NPI Number Detail
| NPI Number | 1790905420 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1401 E 87th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606196522 |
| Phone Number | 7737213000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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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What is the unique 10-digit identifier code assigned to Back To Life, P.C. Of Il by the Centers for Medicare & Medicaid Services?
The Back To Life, P.C. Of Il has been issued the NPI (National Provider Identifier) 1790905420 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Back To Life, P.C. Of Il?
The Back To Life, P.C. Of Il is situated at 1401 E 87Th St, in the city of Chicago, state of IL, with the zip code 606196522.
What is Back To Life, P.C. Of Il's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Back To Life, P.C. Of Il is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Back To Life, P.C. Of Il receive its 1790905420 assignment from the Centers for Medicare & Medicaid Services?
The Back To Life, P.C. Of Il was assigned its 1790905420 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the Back To Life, P.C. Of Il's information last updated?
The Back To Life, P.C. Of Il's information was last updated on 2020-08-22.