Search › Illinois › 111N00000X
Jason Back, D.C
NPI 1841261930 · on the registry since 2006
Practice
- Address
- 501 N Morton Ave
Morton, IL 61550 - Phone
- (309) 263-4673
- Fax
- (309) 263-4611
- Organisation at this address
- Rejuv Peoria Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-11-26
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