Illinois Back Institute is a
Family Medicine based in Carol Stream, Illinois. Illinois Back Institute is licensed to practice in * (Not Available) (license number ) and their current practice location is
640 E Saint Charles Rd Ste 204, 205, 206, Carol Stream, Illinois. It can be reached at their office (for appointments etc.) via phone at
(630) 480-7155.
NPI number for Illinois Back Institute is 1174879340 and their current mailing address is 640 E Saint Charles Rd Ste 204, 205, 206, Carol Stream, Illinois. Illinois Back Institute
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1174879340.
Healthcare Provider's Profile
| Full Name | Illinois Back Institute |
|---|
| Type | Facility |
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| Speciality | Family Medicine |
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| Location | 640 E Saint Charles Rd Ste 204, 205, 206, Carol Stream, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174879340
- Provider Enumeration Date: 07/25/2012
- Last Update Date: 11/25/2020
Medical Identifiers
Medical identifiers for Illinois Back Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174879340 | NPI | - | NPPES |
| 68756 | Other | IL | CORPORATE LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Illinois Back Institute is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Illinois Back Institute
640 E Saint Charles Rd Ste 204, 205, 206,
Carol Stream, IL 60188-3083
Ph: (630) 480-7155 | Illinois Back Institute
640 E Saint Charles Rd Ste 204, 205, 206,
Carol Stream, IL 60188-3083
Ph: (630) 480-7155 |
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