Back In Action Wellness Center
LBN: Back In Action Wellness Center
Back In Action Wellness Center is an health care organization with primary practice located at 12757 Western Ave , Blue Island IL 60406-2155. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Back In Action Wellness Center can be contacted via phone (708) 385-9001, or through Santoliva, Varsovia via phone (708) 385-9001.
Contact Information
Primary practice address
12757 Western Ave
Blue Island IL 60406-2155
Phone: (708) 385-9001
Fax: (708) 385-2114
Website:
Authorized official contact:
Name: Santoliva, Varsovia Doctor of Chiropractic (DC)
Phone: (708) 385-9001
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1508872334 |
|---|---|
| LBN Legal business name | Back In Action Wellness Center |
| DBA Doing business as | |
| Authorized official | Santoliva, Varsovia Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 29th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508872334 | NPPES |
| Illinois | Other | U88474 | DOCTOR UPIN # |
| Illinois | Other | 02227830 | DOCTOR UPIN # |
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