NPIMap

Organization Active NPI

Back to Health Chiropractic Wellness Center

  • Preferred Provider Organization
  • Naperville, IL
National Provider Identifier
1205003522
Registry record updated May 15, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
038011023 Issued in IL
Legal business name
BACK TO HEALTH CHIROPRACTIC WELLNESS CENTER
Practice address
1605 Country Lakes Dr
#204
Naperville, IL 60563-9038
Phone
(630) 962-8277
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Steven Charles Burlison, D.C.
Title
Ceo
Phone
(630) 962-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 038011023 IL Primary

Addresses

Primary practice location

1605 Country Lakes Dr
#204
Naperville, IL 60563-9038

Mailing address

1605 Country Lakes Dr
#204
Naperville, IL 60563-9038
Phone (630) 962-8277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1205003522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COUNTRY LAKES DR",
            "address_2": "#204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639038",
            "telephone_number": "630-962-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 COUNTRY LAKES DR",
            "address_2": "#204",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639038",
            "telephone_number": "630-962-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BURLISON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-962-8277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": "038011023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.