Maryann Tadros, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

IL 038-008501 Issued in IL

Practice address

2100 Manchester Rd
BLDG B Ste 1075B
Wheaton, IL 60187-3581

Phone

(630) 221-9700

Fax

(630) 221-9704

NPI assigned

Jul 28, 2005

Reactivated

Apr 3, 2006

Last updated

Feb 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elk Trail Chiropractic Clinic LTD

  • Chiropractor
  • Wheaton, IL
  • NPI 1841405628
  Medicare reassignment NPD Authorized official
• Tadros Chiropractic Clinic LLS

  • Chiropractor
  • Wheaton, IL
  • NPI 1417336991
  Authorized official Same address or phone

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1336149681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "BLDG B STE 1075B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873581",
            "telephone_number": "630-221-9700",
            "fax_number": "630-221-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MANCHESTER RD",
            "address_2": "BLDG B STE 1075B",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873581",
            "telephone_number": "630-221-9700",
            "fax_number": "630-221-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADROS",
        "first_name": "MARYANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "IL 038-008501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038-008501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Frances Tabisz, LCSW
• Harold Tacuboy, PMHNP
• Christina Taddeo
• Suzanne Taddeucci, LCSW
• Tadros Chiropractic Clinic LLS
• Sarah Stackhouse Taetzsch
• Jessica L Taggart
• Marni Harris Tahvilian, OD
• Li-Shang Tai
• Rocio Talamantes, OTR

• Chiropractor in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.