Illinois Back Institute | |
11540 183rd Pl Unit A, Orland Park, IL 60467-9496 | |
(630) 677-3742 | |
Not Available |
Full Name | Illinois Back Institute |
---|---|
Type | Facility |
Speciality | Family Medicine - Sports Medicine |
Location | 11540 183rd Pl Unit A, Orland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750985214 | NPI | - | NPPES |
Provider Name | Kristin K Walsh |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770537409 PECOS PAC ID: 3678517398 Enrollment ID: I20050614000710 |
Provider Name | Lyubov Shapiro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356572697 PECOS PAC ID: 5597803841 Enrollment ID: I20091106000513 |
Provider Name | James A Joseph |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083660229 PECOS PAC ID: 6800089988 Enrollment ID: I20101021000428 |
Provider Name | Allison K Shewmake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669047460 PECOS PAC ID: 1052713237 Enrollment ID: I20210709002533 |
Provider Name | Suling Li |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437798436 PECOS PAC ID: 5799174090 Enrollment ID: I20211108000681 |
Provider Name | Summer Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790432458 PECOS PAC ID: 1850769597 Enrollment ID: I20221130001208 |
Provider Name | Lakisha Kemp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790568418 PECOS PAC ID: 1153773312 Enrollment ID: I20240123004753 |
Mailing Address | Practice Location Address |
---|---|
Illinois Back Institute 11540 183rd Pl Unit A, Orland Park, IL 60467-9496 Ph: () - | Illinois Back Institute 11540 183rd Pl Unit A, Orland Park, IL 60467-9496 Ph: (630) 677-3742 |