Individual
REBECCA BACKHUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W WALL ST APT 1, MORRISON, IL 61270-2300
(815) 499-4692
Mailing address
206 W WALL ST APT 1, MORRISON, IL 61270-2300
(815) 499-4692
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
171WH0202X
IL
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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