Nick C. Mallios DC, LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038012058 Issued in IL

Legal business name

NICK C. MALLIOS DC, LTD

Practice address

13301 S Ridgeland Ave Unit a
Palos Heights, IL 60463-0030

Phone

(708) 489-3700

Fax

(708) 489-3705

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nick C Mallios, DC

Title

President

Phone

(708) 489-3700

Specialties & licenses 1

Addresses

Other names 1

• Applied Wellness Clinic Doing business as

Locations

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1659731230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 S RIDGELAND AVE UNIT A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604630030",
            "telephone_number": "708-489-3700",
            "fax_number": "708-489-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 S RIDGELAND AVE UNIT A",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604630030",
            "telephone_number": "708-489-3700",
            "fax_number": "708-489-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK C. MALLIOS DC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "MALLIOS",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-489-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Applied Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.