Individual
DR. JASON WILLIAM BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
501 N MORTON AVE, MORTON, IL 61550-1526
(309) 263-4673
(309) 263-4611
Mailing address
501 N MORTON AVE, MORTON, IL 61550-1526
(309) 263-4673
(309) 263-4611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
APPLIED FOR
MO
Other
Enumeration date
01/28/2006
Last updated
11/26/2008
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