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
Phone: (773) 878-8200
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073713418 | NPPES |
Illinois | MEDICAID | 036100805 | |
Illinois | Other | 406120113 |
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