Back Institute, Ltd

NPI #1144341017 in Forsyth, Illinois

Provider Information

NPI Number: 1144341017
Entity Type: Organization
Organization Name: Back Institute, Ltd
Primary Specialty: Chiropractor
Enumeration Date: Apr 2, 2007
Last Updated: Oct 29, 2012

Practice Location

Address: 389 W WEAVER RD
Address 2: SUITE 2
City: Forsyth
State: Illinois
ZIP Code: 62535-9764
Phone: (217) 875-7151

Authorized Official

Name: DR. KIMBERLY ANN SHEPPARD, D.C.
Title: PRESIDENT
Phone: (217) 875-7151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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