BACK TO HEATLH CHIROPRACTIC-MEDICAL CENTER
NPI 1619174653
Chiropractor in Calumet Park, IL

Q: What is Lolita A. Wilburn D.C.P.C.'s NPI number?

The NPI number for Lolita A. Wilburn D.C.P.C. is 1619174653. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Back To Heatlh Chiropractic-Medical Center.

Q: What is Lolita A. Wilburn D.C.P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since July 02, 2007CLIA 14D2226297 · Waiver

12647 S JUSTINE ST, CALUMET PARK, IL 60827(708) 489-2225(798) 489-2610 Get Directions Write a Review

NPPES record last updated: February 3, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Back To Heatlh Chiropractic-medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BACK TO HEATLH CHIROPRACTIC-MEDICAL CENTER (NPI 1619174653) is a healthcare organization registered as a chiropractor in Calumet Park, Illinois and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through May 26, 2027 and lists Lolita A Wilburn, Director, as its authorized official.

NPPES Registry Identity

NPI1619174653

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameLOLITA A. WILBURN D.C.P.C.

Location Address12647 S JUSTINE STCalumet Park, IL 60827-6009

Mailing Address12647 S Justine StCalumet Park, IL 60827-6009 · (708) 489-2225 · Fax (798) 489-2610

Phone(708) 489-2225

Fax(798) 489-2610

Organization SubpartNo

Authorized OfficialLolita A WilburnDirector · (708) 489-2225

Enumeration DateJuly 2, 2007

Last NPPES UpdateFebruary 3, 2009

✔ NPI 1619174653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038007208

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

12647 S JUSTINE ST, Calumet Park, IL 60827

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Other Names 1

Doing Business AsBack To Heatlh Chiropractic-medical Center

Other Identifiers 3

Other01622136IL · Blue Crossblue Shield

Medicare ID-Type Unspecified320950IL

Medicaid038007208IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2226297

Back To Health Chiropractic Medical Center · Calumet Park, IL

Active · expires May 26, 2027

CLIA Number14D2226297

Laboratory TypePhysician Office

Certificate Effective DateMay 27, 2025

Certificate Expiration DateMay 26, 2027

Laboratory DirectorLolita A. Wilburn

Laboratory Phone(708) 489-2225

Laboratory LocationBack To Health Chiropractic Medical Center12647 S Justine, Calumet Park, IL 60827

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lolita A. Wilburn D.C.P.C.'s NPI number?

The NPI number for Lolita A. Wilburn D.C.P.C. is 1619174653. It was assigned to this organization in the NPPES registry on July 2, 2007. The provider is doing business as Back To Heatlh Chiropractic-Medical Center.

Where is Lolita A. Wilburn D.C.P.C. located?

Lolita A. Wilburn D.C.P.C. is located at 12647 S Justine St, Calumet Park, IL 60827. The listed phone number is (708) 489-2225.

What is Lolita A. Wilburn D.C.P.C.'s specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Does Lolita A. Wilburn D.C.P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2226297) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lolita A. Wilburn D.C.P.C. was last updated on February 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.