Individual provider Active NPI

Mario J. Garcia, D.C.

  • Chiropractor
  • Buffalo Grove, IL
National Provider Identifier
1730228313
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038011282 Issued in IL
Practice address
333 W Dundee Rd
# 102
Buffalo Grove, IL 60089-3545
Phone
(847) 243-0355
Fax
(847) 243-0356
NPI assigned
Feb 6, 2007
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038011282 IL Primary

Addresses

Primary practice location

333 W Dundee Rd
# 102
Buffalo Grove, IL 60089-3545

Mailing address

333 W Dundee Rd
# 102
Buffalo Grove, IL 60089-3545
Phone (847) 243-0355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150504002232 IL Practitioner - Chiropractic 5193946945 Reassigns benefits to 2 organizations
Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve North II PLLC Chiropractor CurrentSince Oct 10, 2024 Accepting new patients
Chiromend Chiropractor CurrentSince Jan 29, 2022 Accepting new patients
Advanced Arlington Medical Center LTD. PastSince Jan 5, 2017 Accepting new patients

Locations

1834 Glenview Rd
Ste 2W
Glenview, IL 60025
Phone (847) 730-3988

10705 Ruth Rd
Huntley, IL 60142
Phone (847) 277-2990

750 Bunker Ct
Ste 700
Vernon Hills, IL 60061
Phone (224) 424-4938

Organizations & group practices 4

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1730228313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W DUNDEE RD",
            "address_2": "# 102",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355",
            "fax_number": "847-243-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W DUNDEE RD",
            "address_2": "# 102",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-243-0355",
            "fax_number": "847-243-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIO",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.