# ILLINOIS BACK AND JOINT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Illinois Back Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750985214
- **Authorized official:** STELLA ZAIMI (MANAGER)
- **Authorized official phone:** (630) 677-3742

## Contact information

- **Practice address:** 11540 183RD PL UNIT A, ORLAND PARK, IL 60467-9496
- **Practice address phone:** (630) 677-3742
- **Mailing address:** 11540 183RD PL UNIT A, ORLAND PARK, IL 60467-9496

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/25/2020
- **Last updated:** 03/12/2021