CRAIG BACKOUS DO NPI 1073713418

NPI Information

NPI: 1073713418
Provider Name: CRAIG BACKOUS, DO
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
5140 N CALIFORNIA AVE
SUITE 780
CHICAGO, IL
ZIP 60625
Phone: (773) 878-8200
Get Directions

Craig Backous, DO is a pulmonary disease internal medicine in Chicago, IL with 18 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Craig Backous, DO NPI is 1073713418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2006

The provider's business location address is:

5140 N CALIFORNIA AVE
SUITE 780
CHICAGO, IL
ZIP 60625-645
Phone: (773) 878-8200

The NPI 1073713418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 4/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		036123981	ILLINOIS	No
2	207RC0200X	Internal Medicine	Critical Care Medicine	036.123981	ILLINOIS	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	036123981	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	406120113	OTHER		PTAN
2	036100805	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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