Back To Health Clinic Sc in Decatur - Physical Medicine & Rehabilitation
Back To Health Clinic Sc - NPI 1184746984
Back To Health Clinic Sc is a Physical Medicine & Rehabilitation in Decatur, Illinois. Back To Health Clinic Sc practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Back To Health Clinic Sc is 1184746984. The last update date is 2020-08-22.
Back To Health Clinic Sc's current location address is 511 N Brush College Rd, Decatur, Illinois. You can contact this provider via phone number 2172330650 and fax number 2172335082. The mailing address for Back To Health Clinic Sc is 511 N Brush College Rd, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Health Clinic Sc |
|---|---|
| Address | 511 N Brush College Rd, Decatur, Illinois |
| Phone Number | 2172330650 |
| Fax Number | 2172335082 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fabrique Lewis Keith |
| Credentials | MD |
| Telephone Number | 2172330650 |
NPI Number Detail
| NPI Number | 1184746984 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 511 N Brush College Rd |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625211652 |
| Phone Number | 2172330650 |
| Fax Number | 2172335082 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Medicine & Rehabilitation |
|---|---|
| Taxonomy | 208100000X |
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Definition: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin |
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What is the unique 10-digit identifier code assigned to Back To Health Clinic Sc by the Centers for Medicare & Medicaid Services?
The Back To Health Clinic Sc has been issued the NPI (National Provider Identifier) 1184746984 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Back To Health Clinic Sc's facilities are situated?
The facilities of Back To Health Clinic Sc are physically located at the following address: 511 N Brush College Rd, Decatur, IL, 625211652.
What is Back To Health Clinic Sc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Back To Health Clinic Sc's area of specialization is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 208100000X.
On what date did Back To Health Clinic Sc receive its 1184746984 assignment from the Centers for Medicare & Medicaid Services?
The Back To Health Clinic Sc was assigned its 1184746984 on 2007-04-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Back To Health Clinic Sc last refreshed?
The information related to the Back To Health Clinic Sc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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