| Back Institute, Ltd | |
|
389 W Weaver Rd, Suite 2, Forsyth, IL 62535-9764 | |
| (217) 875-7151 | |
| (217) 876-5395 |
| Full Name | Back Institute, Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 389 W Weaver Rd, Forsyth, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144341017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038009947 (Illinois) | Primary |
| 111N00000X | Chiropractor | 038010237 (Illinois) | Secondary |
| Provider Name | Kristin E White |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760447361 PECOS PAC ID: 6406818301 Enrollment ID: I20041112000269 |
| Provider Name | Chris Ntor-ue |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801440557 PECOS PAC ID: 0648607937 Enrollment ID: I20200226001739 |
| Mailing Address | Practice Location Address |
|---|---|
| Back Institute, Ltd 389 W Weaver Rd, Suite 2, Forsyth, IL 62535-9764 Ph: (217) 875-7151 | Back Institute, Ltd 389 W Weaver Rd, Suite 2, Forsyth, IL 62535-9764 Ph: (217) 875-7151 |
Mrs. Kimberly A Sheppard, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 389 W Weaver Rd, Suite 2, Forsyth, IL 62535 Phone: 217-875-7151 Fax: 217-876-5395 | |
Dr. Todd B Messamore, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 700 W Weaver Rd, Forsyth, IL 62535 Phone: 217-521-0324 | |
Mrs. Kristin E White, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 389 W Weaver Rd, Suite 2, Forsyth, IL 62535 Phone: 217-875-7151 Fax: 217-876-5395 | |
Dr. Blake Andrew Doss, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 389 W Weaver Rd, Suite 2, Forsyth, IL 62535 Phone: 217-875-7151 |