Khalil Elias Badaoui, D.C.
Individual provider Active NPI Chiropractor · Lake Orion, MI
NPI 1073598967 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1073598967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301007492 (MI)
- Practice address
- 25 S Lapeer St
Lake Orion, MI 48362-3167 - Phone
- (248) 693-4800
- Fax
- (248) 693-3539
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301007492 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caruso Chiropractic Clinic, P.C. | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301007492 | MI | Yes |
Addresses
Primary practice location
25 S Lapeer St
Lake Orion, MI 48362-3167
Mailing address
25 S Lapeer St
Lake Orion, MI 48362-3167
Phone (248) 693-4800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4296109 | Medicaid | MI |
Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.