Organization
BRADLEY BACKHAUS DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY A BACKHAUS D.C. (OWNER)
(414) 690-1426
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE, SUITE 411, CHICAGO, IL 60657-5081
(773) 525-9355
Mailing address
2835 N SHEFFIELD AVE, SUITE 411, CHICAGO, IL 60657-5081
(773) 525-9355
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
038.012607
IL
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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