Bounce Back Chiropractic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BOUNCE BACK CHIROPRACTIC, INC.

Practice address

15620 Centennial CT
Orland Park, IL 60462-4571

Phone

(708) 843-2013

NPI assigned

Nov 8, 2021

Organization subpart

No

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

Authorized official

Name

Shehab K. Awadallah, DC

Title

Owner

Phone

(708) 843-2013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1639834294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15620 CENTENNIAL CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624571",
            "telephone_number": "708-843-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15620 CENTENNIAL CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624571",
            "telephone_number": "708-843-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNCE BACK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "AWADALLAH",
        "authorized_official_first_name": "SHEHAB",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-843-2013",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C. Bosack, DDS
• Cheryl Ann Boss, ANP-CNP
• Botti Sports & Spine
• Bryan C Bouchelion, DDS
• Firdaus Boufath
• John E. Bova, D.D.S., P.C.
• Kristine Michelle Bowen
• Emily Bowles, DDS
• Allison Boyce
• Brittany Nicole Boyd, PHD., LPC

• Chiropractor in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.