Search › Illinois › 152W00000X
Andrew Backus, O.D
NPI 1336131259 · on the registry since 2005 · sole proprietor
Practice
- Address
- 6 Heartland Dr
Suite C
Bloomington, IL 61704 - Phone
- (309) 663-0303
- Fax
- (309) 663-0161
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois