Individual
DR. JUSTIN FAIVRE BACKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4705 W FOSTER AVE STE B6, CHICAGO, IL 60630-1710
(773) 825-8886
Mailing address
5644 W CULLOM AVE, CHICAGO, IL 60634-1818
(630) 432-4343
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.013976
IL
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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