Organization Active NPI

Midwest Back Center

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1508003922
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
181000271 Issued in IL
Legal business name
MIDWEST BACK CENTER
Practice address
400 W 76TH St Ste 210
Chicago, IL 60620-1883
Phone
(773) 873-5000
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Authorized official

Name
Dr. Robert J Muhammad, D.NNPI 1972700219
Title
Clinic Director
Phone
(773) 873-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 181000271 IL Primary

Addresses

Primary practice location

400 W 76TH St Ste 210
Chicago, IL 60620-1883

Mailing address

400 W. 76TH Ste. 210
Chicago, IL 60620
Phone (773) 873-5000

National Provider Directory

National Provider Directory

Locations

400 W 76th St
Ste 210
Chicago, IL 60620
Phone (773) 454-4926

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1508003922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W. 76TH STE. 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60620",
            "telephone_number": "773-873-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 76TH ST STE 210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201883",
            "telephone_number": "773-873-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST BACK CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "773-873-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.N"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "181000271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.