Individual provider · Type 1 NPI
Justin Faivre Backstrom, DC
Chiropractor · Chicago, IL
NPI number
1700563228
Active
Practice location
4705 W Foster Ave Ste B6
Chicago, IL 60630-1710
Mailing address
5644 W Cullom Ave
Chicago, IL 60634-1818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038.013976 (IL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1700563228
Justin Faivre Backstrom, DC's National Provider Identifier is 1700563228, issued on Jun 28, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 28, 2023.