Back To Life Chiropractic, Sc

LBN: Back To Life Chiropractic, Sc
Back To Life Chiropractic, Sc is an health care organization with primary practice located at 1352 Patriot Blvd , Glenview IL 60026-7777. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Back To Life Chiropractic, Sc can be contacted via phone (847) 917-3097, or through Godbout, Thomas via phone (847) 917-3097.

Contact Information

Primary practice address
1352 Patriot Blvd Glenview IL 60026-7777
Phone: (847) 917-3097
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Godbout, Thomas
Phone: (847) 917-3097

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 038010264 Illinois

Profile Details

NPI number 1194983650
LBN Legal business name Back To Life Chiropractic, Sc
DBA Doing business as
Authorized official Godbout, Thomas
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated Sep 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194983650 NPPES
Illinois Other 216661 MEDICARE PTAN

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