Dennis Backstrom, MD
NPI #1497892012 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1497892012
- Entity Type
- Individual
- Name
- Dennis Backstrom, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Emergency Medicine
- Credential
- MD
- Enumeration Date
- Jan 31, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 245-9541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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