B Bridge Back LLC
NPI 1356969406ActiveOrganization· General Practice· Arlington Heights, IL
General Practice in Arlington Heights, Illinois, registered in NPPES in July 2020. The authorized official on file is Dimitry Likterev, DC, Co-Owner.
Overview
| NPI | 1356969406 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2020 |
| Last updated in NPPES | Nov 18, 2024 |
| Certified by provider | Nov 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other General Practice providers in Arlington Heights
- 1396081030
- 1467652669
- 1104210434
- 1205832243