NPIMap

Organization Active NPI

Back Safety & Wellness Center, Inc.

  • Chiropractor
  • Homewood, IL
National Provider Identifier
1124416193
Registry record updated Dec 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK SAFETY & WELLNESS CENTER, INC.
Practice address
18141 Dixie Hwy
Suite 107
Homewood, IL 60430-2238
Phone
(708) 365-6353
NPI assigned
Dec 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Josh Zumstein, D.C.
Title
Owner
Phone
(708) 365-6353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X

Addresses

Primary practice location

18141 Dixie Hwy
Suite 107
Homewood, IL 60430-2238

Mailing address

18141 Dixie Hwy
Suite 107
Homewood, IL 60430-2238
Phone (708) 365-6353

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1124416193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18141 DIXIE HWY",
            "address_2": "SUITE 107",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302238",
            "telephone_number": "708-365-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18141 DIXIE HWY",
            "address_2": "SUITE 107",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302238",
            "telephone_number": "708-365-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK SAFETY & WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "ZUMSTEIN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-365-6353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.