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1700563228
JUSTIN FAIVRE BACKSTROM
CHICAGO, IL
NPI
1700563228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038.013976)
Enumeration Date
2023-06-28
Last Update Date
2023-06-28
Business Address
Dr. JUSTIN FAIVRE BACKSTROM DC
4705 W FOSTER AVE STE B6
CHICAGO, IL 60630-1710
Phone number: 773-825-8886
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Mailing Address
Dr. JUSTIN FAIVRE BACKSTROM DC
5644 W CULLOM AVE
CHICAGO, IL 60634-1818
Phone number: 630-432-4343
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