Backous, Craig

Backous, Craig is an individual health care provider with primary practice located at 5140 N California Ave Suite 780, Chicago IL 60625-3645. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Backous, Craig can be contacted via phone (773) 878-8200.

Contact Information

Primary practice address
5140 N California Ave Suite 780 Chicago IL 60625-3645
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036123981 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036.123981 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036123981 Illinois

Profile Details

NPI number 1073713418
LBN Legal business name Backous, Craig
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2007
Last updated Apr 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073713418 NPPES
Illinois MEDICAID 036100805
Illinois Other 406120113

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