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Organization

BACK TO LIFE, P.C. OF IL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARON EMLEN JENKINS-COLLINS D.C. (OWNER,)
(773) 721-3000
Entity
Organization

Contact information

Practice address
1401 E 87TH ST, CHICAGO, IL 60619-6522
(773) 721-3000
Mailing address
1401 E 87TH ST, CHICAGO, IL 60619-6522
(773) 721-3000

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
04/26/2007
Last updated
08/22/2020
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