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NATURAL PAIN BACK INSTITUTE LLC NPI 1194197376


NPI Information

NPI: 1194197376
Provider Name: NATURAL PAIN BACK INSTITUTE, LLC

Doing Business As: C/E MED BACK INSTITUTE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3535 E NEW YORK ST
SUITE 216
AURORA, IL
ZIP 60504
Phone: (662) 843-0076
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NATURAL PAIN BACK INSTITUTE, LLC is a general practice in Aurora, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee NATURAL PAIN BACK INSTITUTE, LLC NPI is 1194197376. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As C/e Med Back Institute.

The provider's business location address is:

3535 E NEW YORK ST
SUITE 216
AURORA, IL
ZIP 60504-465
Phone: (662) 843-0076
Fax: (662) 846-7730

The provider's authorized official is Reginald Lamar Rodges .
The authorized official title is Ceo and has the following contact phone number (662) 843-0076.

The enumeration date for this NPI number is 10/27/2015 and was last updated on 10/27/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorILLINOISNo
2225100000XPhysical TherapistNo
3363L00000XNurse PractitionerNo
4208D00000XGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1302G704130MEDICARE UPINMISSISSIPPI

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

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