Backstrom Chiropractic Clinic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACKSTROM CHIROPRACTIC CLINIC P C

Practice address

496 Crescent Blvd
Glen Ellyn, IL 60137-4540

Phone

(630) 790-2440

Fax

(630) 790-4202

NPI assigned

Feb 26, 2008

Last updated

Apr 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald B. Backstrom, D.C.NPI 1326021692

Title

President

Phone

(630) 790-2440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald B. Backstrom, M.S., D.C.

  • Chiropractor
  • Glen Ellyn, IL
  • NPI 1326021692
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1639348493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 CRESCENT BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374540",
            "telephone_number": "630-790-2440",
            "fax_number": "630-790-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 CRESCENT BLVD",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601374540",
            "telephone_number": "630-790-2440",
            "fax_number": "630-790-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKSTROM CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BACKSTROM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-790-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athletic & Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
• Audiologic Services, LTD.
• Xandra Yvette Avila, MS
• Amany Aziz, M.D.
• Mariam Baba, PHARMD
• Donald B. Backstrom, M.S., D.C.
• Amena Bade, MSW., LCSW
• Bader Almoshelli MD
• Hope Nicole Baer, LCSW
• Elizabeta Baftiri, DMD

• Chiropractor in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.