Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Karen Miae Back

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558169201

Karen Miae Back is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558169201
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address530 Ne Glen Oak Ave, Peoria, IL 61637-0001

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