Individual provider Active NPI

Michael Paul McAuliffe, DC

  • Neurology Chiropractor
  • Wood Dale, IL
National Provider Identifier
1326660812
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
038.013519 Issued in IL
Practice address
199 S Addison Rd Ste 106
Wood Dale, IL 60191-1978
Phone
(630) 766-1552
NPI assigned
May 7, 2020
Last updated
May 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 038.013519 IL Primary

Addresses

Primary practice location

199 S Addison Rd Ste 106
Wood Dale, IL 60191-1978

Mailing address

199 S Addison Rd Ste 106
Wood Dale, IL 60191-1978
Phone (630) 766-1552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720000461 IL Practitioner - ChiropracticPractitioner - Neurology 0446674881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.013519ILMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Neuro & Physical Rehabilitation LTD CurrentSince Jun 30, 2020 Accepting new patients
Neurologic Wellness Institute, PLLC Neurology CurrentSince Sep 1, 2023 Accepting new patients
Neurologic Wellness Institute PLLC Neurology Past Accepting new patients

Locations

160 E Grand Ave
Ste 200
Chicago, IL 60611
Phone (312) 265-0919

199 S Addison Rd
Wood Dale, IL 60191
Phone (630) 766-1552

199 S Addison Rd
#105106
Wood Dale, IL 60191
Phone (630) 766-1552

199 S Addison Rd
Ste 106
Wood Dale, IL 60191
Phone (630) 766-1552

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1326660812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD STE 106",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911978",
            "telephone_number": "630-766-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 S ADDISON RD STE 106",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911978",
            "telephone_number": "630-766-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "IL",
            "license": "038.013519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Dale, IL

Sources for this page

Verify at the official NPI Registry.