Organization
BACKWORKS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH K. ANDERSEN MSPT (OWNER)
(630) 513-2700
Entity
Organization
Contact information
Practice address
2445 DEAN ST, UNIT B, ST CHARLES, IL 60175-4810
(630) 513-2700
(630) 513-2703
Mailing address
2445 DEAN ST, UNIT B, ST CHARLES, IL 60175-4828
(630) 513-2700
(630) 513-2703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4523357
BCBS
IL
Enumeration date
08/03/2006
Last updated
03/12/2008
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