NPIMap

Organization Active NPI

Midwest Wellness Health Center, LTD

  • General Practice Physician
  • Cary, IL
National Provider Identifier
1053695031
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
042-619859 Issued in IL
Legal business name
MIDWEST WELLNESS HEALTH CENTER, LTD
Practice address
3202 Northwest Hwy
Suite E
Cary, IL 60013-3507
Phone
(847) 530-7310
Fax
(847) 660-6310
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald A Masukawa, D.C.NPI 1972558609
Title
President
Phone
(847) 530-7310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038-007971 IL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 036-105621 IL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 042-619859 IL Primary

Addresses

Primary practice location

3202 Northwest Hwy
Suite E
Cary, IL 60013-3507

Mailing address

629 David St
Lake in the Hills, IL 60156-5204
Phone (847) 530-7310

National Provider Directory

National Provider Directory

Locations

3202 Northwest Hwy
Ste E
Cary, IL 60013
Phone (847) 516-8000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1053695031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 DAVID ST",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565204",
            "telephone_number": "847-530-7310",
            "fax_number": "847-660-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 NORTHWEST HWY",
            "address_2": "SUITE E",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600133507",
            "telephone_number": "847-530-7310",
            "fax_number": "847-660-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST WELLNESS HEALTH CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MASUKAWA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-530-7310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-007971",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-105621",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "042-619859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.