Illinois Back Institute - Medicare in Carol Stream, IL

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Illinois Back Institute is a medicare enrolled "Family Medicine" provider in Carol Stream, Illinois. Their current practice location is 640 E Saint Charles Rd Ste 204, 205, 206, Carol Stream, Illinois. You can reach out to their office (for appointments etc.) via phone at (630) 480-7155.

Illinois Back Institute is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Illinois Back Institute is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174879340.

Contact Information

Illinois Back Institute
640 E Saint Charles Rd Ste 204, 205, 206,
Carol Stream, IL 60188-3083
(630) 480-7155
(630) 447-9942

Map and Direction




Healthcare Provider's Profile

Full NameIllinois Back Institute
TypeFacility
SpecialityFamily Medicine
Location640 E Saint Charles Rd Ste 204, 205, 206, Carol Stream, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174879340
  • Provider Enumeration Date: 07/25/2012
  • Last Update Date: 11/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1355594904
  • Enrollment ID: O20130109000459

Medical Identifiers

Medical identifiers for Illinois Back Institute such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174879340NPI-NPPES
68756OtherILCORPORATE LICENSE #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
2081N0008XPhysical Medicine & Rehabilitation - Neuromuscular Medicine (* (Not Available))Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Illinois Back Institute acts as a billing entity for following providers:
Provider NameEduardo A Solver
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1750461208
PECOS PAC ID: 8921027905
Enrollment ID: I20051118000475
Provider NameLyubov Shapiro
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356572697
PECOS PAC ID: 5597803841
Enrollment ID: I20091106000513
Provider NameJames A Joseph
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083660229
PECOS PAC ID: 6800089988
Enrollment ID: I20101021000428
Provider NameAmy Harmening
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487965745
PECOS PAC ID: 3577744416
Enrollment ID: I20110224000633
Provider NameKelly German
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588918130
PECOS PAC ID: 5890933238
Enrollment ID: I20130524000497
Provider NameSnehaben Sheth
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134615081
PECOS PAC ID: 4183972813
Enrollment ID: I20180813000308
Provider NameKlaudia Rokicki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366006017
PECOS PAC ID: 6002159100
Enrollment ID: I20190513000715
Provider NamePriya Shah
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891347241
PECOS PAC ID: 1456689876
Enrollment ID: I20190823000089
Provider NameSarangi R. Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801401088
PECOS PAC ID: 6204244825
Enrollment ID: I20210421000360
Provider NameMaulik Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588981302
PECOS PAC ID: 3476961764
Enrollment ID: I20210427001100
Provider NameRyan Kent
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265021919
PECOS PAC ID: 1658771811
Enrollment ID: I20210610001120
Provider NameRubah Karim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437724465
PECOS PAC ID: 8022418896
Enrollment ID: I20210616000129

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Illinois Back Institute is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Illinois Back Institute
640 E Saint Charles Rd Ste 204, 205, 206,
Carol Stream, IL 60188-3083

Ph: (630) 480-7155		Illinois Back Institute
640 E Saint Charles Rd Ste 204, 205, 206,
Carol Stream, IL 60188-3083

Ph: (630) 480-7155

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.