Paul Matthew Mikulski, D.C., C.C.N.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

Practice address

5929 N Mobile Ave
Chicago, IL 60646-5330

Phone

(773) 573-6348

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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, 2004

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Proactive Natural Medicine, LTD

  • Nutrition Chiropractor
  • Chicago, IL
  • NPI 1063439768
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376564807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 N MOBILE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465330",
            "telephone_number": "773-573-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 N MOBILE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465330",
            "telephone_number": "773-573-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULSKI",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01635895",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Mikrut, DC, MS
• Michael Mikrut, PHARMD
• Sara Mikrut, LCPC, LPHA
• Kristen Elizabeth Mikula, APRN
• Rachel P Mikula, LCSW
• Vanessa Mikuta, MS, OTR/L
• Mila C R Bacalla MD SC
• Mila Zelenkovich, D.D.S.,LTD.
• Nora Mila
• Magdy Milad, MD

• Nutrition Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.