BRADLEY BACKHAUS DC LLC NPI 1447661590

NPI Information

NPI: 1447661590
Provider Name: BRADLEY BACKHAUS DC LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2835 N SHEFFIELD AVE
SUITE 411
CHICAGO, IL
ZIP 60657
Phone: (773) 525-9355
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BRADLEY BACKHAUS DC LLC is a health service clinic center in Chicago, IL. BRADLEY BACKHAUS DC LLC NPI is 1447661590. The provider is registered as an organization entity type.

The provider's business location address is:

2835 N SHEFFIELD AVE
SUITE 411
CHICAGO, IL
ZIP 60657-081
Phone: (773) 525-9355

The provider's authorized official is Bradley A Backhaus .
The authorized official title is Owner and has the following contact phone number (414) 690-1426.

The enumeration date for this NPI number is 5/12/2014 and was last updated on 5/12/2014.

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	261QH0100X	Clinic/Center	Health Service	038.012607	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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