Back to Life, P.C. of Il

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK TO LIFE, P.C. OF IL

Practice address

1401 E 87TH St
Chicago, IL 60619-6522

Phone

(773) 721-3000

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By 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. Sharon Emlen Jenkins-Collins, D.C.NPI 1083830186

Title

Owner,

Phone

(773) 721-3000

Specialties & licenses 1

Addresses

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.

• Sharon E. Jenkins-Collins, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1083830186
  NPD (past) Authorized official

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790905420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196522",
            "telephone_number": "773-721-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196522",
            "telephone_number": "773-721-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO LIFE, P.C. OF IL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS-COLLINS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "EMLEN",
        "authorized_official_title_or_position": "OWNER,",
        "authorized_official_telephone_number": "773-721-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Marie Baciak, MD
• Busra Nur Bacik Goksu, MD
• Back Center of Chicago
• Back Home Chiropractic, S.C.
• Back to Health Chiropractic LTD
• Back to Natural LLC (Back To Natural Chiropractic)
• Nicole E Back, PA-C
• Katherine Backes, M.D.
• Bradley A Backhaus, D.C.
• Lindsay D Backiev, DPT

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.