MDC Physicians LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MDC PHYSICIANS LTD

Practice address

2502 N Harlem Ave
Elmwood Park, IL 60707-2020

Phone

(708) 452-1220

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Banuelos, DCNPI 1578552253

Title

President

Phone

(708) 452-1220

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Michael G Banuelos, D.C.

  • Chiropractor
  • Elmwood Park, IL
  • NPI 1578552253
  Medicare reassignment Care Compare group NPD Authorized official
• Linda H Morris, PHYSICAL THERAPIST

  • Physical Therapist
  • Norridge, IL
  • NPI 1295061455
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1295883668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072020",
            "telephone_number": "630-290-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607072020",
            "telephone_number": "708-452-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDC PHYSICIANS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "BANUELOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-452-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luma Ali Mallah
• Lori Marchi
• Bernadetta Martin, LMT
• Dominick Michael Martinico
• Amy M McPherson, DPM
• Medical Associates of Illinois SC
• Aditi Mehan
• Kathryn J Mencel, M.D.
• Carlo Anthony Messina, DPM
• Kathy Ann Meyer, D.D.S.

• Chiropractor in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.