Organization
BACK INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY ANN SHEPPARD D.C. (PRESIDENT)
(217) 875-7151
Entity
Organization
Contact information
Practice address
389 W WEAVER RD, SUITE 2, FORSYTH, IL 62535-9764
(217) 875-7151
(217) 876-5395
Mailing address
389 W WEAVER RD, SUITE 2, FORSYTH, IL 62535-9764
(217) 875-7151
(217) 876-5395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009947
IL
111N00000X
Chiropractor
038010237
IL
Other
Enumeration date
04/02/2007
Last updated
10/29/2012
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