Back In Action Wellness Center

LBN: Back In Action Wellness Center
Back In Action Wellness Center is an health care organization with primary practice located at 12757 Western Ave , Blue Island IL 60406-2155. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Back In Action Wellness Center can be contacted via phone (708) 385-9001, or through Santoliva, Varsovia via phone (708) 385-9001.

Contact Information

Primary practice address
12757 Western Ave Blue Island IL 60406-2155
Fax: (708) 385-2114
Website:
Authorized official contact:
Name: Santoliva, Varsovia Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1508872334
LBN Legal business name Back In Action Wellness Center
DBA Doing business as
Authorized official Santoliva, Varsovia Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Jan 29th, 2008 - about 17 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 1508872334 NPPES
Illinois Other U88474 DOCTOR UPIN #
Illinois Other 02227830 DOCTOR UPIN #

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