B BRIDGE BACK LLC


Address: 314 Mchenry Rd, Buffalo Grove, IL 60089-2428
Phone: 8448772440

B BRIDGE BACK LLC (NPI# 1356969406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356969406
Entity Type Organization
Organization Name B BRIDGE BACK LLC
Practice Address 314 Mchenry Rd
Buffalo Grove
IL 60089-2428
Practice Telephone 8448772440
Mailing Telephone 8448772440
Enumeration Date 2020-07-06
Last Update Date 2020-07-06
Authorized Official Name DIMITRY LIKTEREV (CO-OWNER)
Authorized Official Telephone 8448772440
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
B Bridge back LLC Doing Business As Name - Organization

Office Location

Street Address 314 MCHENRY RD
City BUFFALO GROVE
State IL
Zip Code 60089-2428

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093354037 A Bridge Back, Inc. Clinic/Center 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 2019-12-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841795275 Mary Elizabeth Strain, Phd LLC Psychologist 355 W Dundee Rd Ste 214, Buffalo Grove, IL 60089 2018-03-27
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1487165304 Crystalann Sasha Thomas Social Worker 135 N Arlington Heights Rd., 104, Buffalo Grove, IL 60089 2017-10-18
1801315718 Natalya Sagalov Psychologist 1283 Sandhurst Drive, Buffalo Grove, IL 60089 2017-09-12
1770035859 Transport Auto Inc Non-emergency Medical Transport (VAN) 456 Chicory Ln, Buffalo Grove, IL 60089 2016-10-25
1982062535 Eileen Fang Occupational Therapist 858 Horatio Blvd., Buffalo Grove, IL 60089 2016-02-10
1437538345 Jamie Levin Social Worker 830 Belmar Lane, Buffalo Grove, IL 60089 2015-05-26
1669850756 Cress Chiropractic Inc Chiropractor 1176 Mchenry Road, Buffalo Grove, IL 60089 2015-05-11
1801273123 Vicki Lane Sheehan Dentist 2100 Lake Cook Rd., Suite 1100, Buffalo Grove, IL 60089 2015-05-06
1073918629 Natalya Nagornaya Dds PC Dentist 472 Half Day Rd, Buffalo Grove, IL 60089 2014-10-24
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134172299 Charles W Parrish IIi General Practice 601 Marseilles Cir, Buffalo Grove, IL 60089-7719 2006-05-18
1447236716 Jaswinder Rai Chhibber General Practice 150 W Half Day Rd, Buffalo Grove, IL 60089-6591 2005-12-19

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1306465786 Brightlife Regenerative Medical Clinic Lombard Sc General Practice 442 E Roosevelt Rd, Lombard, IL 60148-4630 2020-04-15
1851920524 Sahens Mezidor General Practice 228 Ridge Ave Apt G, Evanston, IL 60202-6409 2020-04-05
1447881487 Tyrian Healthcare Solutions, LLC General Practice 2120 W Heading Ave, West Peoria, IL 61604-5138 2020-01-29
1598302077 Enhance Medical LLC General Practice 1193 N Gary Ave, Carol Stream, IL 60188-9423 2019-12-04
1164067054 League Corp. General Practice 515 N State St Fl 8, Chicago, IL 60654-9102 2019-11-14
1679129977 Chronic Care Solutions LLC General Practice 3050 W Columbia Ave, Chicago, IL 60645-4006 2019-08-13
1205393972 Midwest Medical LLC General Practice 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 2019-02-28
1306311725 Genesis Integrative Medicine LLC General Practice 1881 S Randall Rd Ste C, Geneva, IL 60134-2532 2018-10-11
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Competitor

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City BUFFALO GROVE
Zip Code 60089

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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