Multicare Health Center LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009901 Issued in IL

Legal business name

MULTICARE HEALTH CENTER LTD

Practice address

3842-44 Harlem Ave
Lyons, IL 60534-1219

Phone

(708) 442-3050

Fax

(708) 442-3058

NPI assigned

May 13, 2006

Last updated

Jun 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theodoros Mikroulis, DCNPI 1316997554

Title

Owner

Phone

(708) 442-3050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodoros Mikroulis, D.C.

  • Chiropractor
  • Lyons, IL
  • NPI 1316997554
  Medicare reassignment NPD Authorized official
• Adam Bezanis, DC

  • Chiropractor
  • Lyons, IL
  • NPI 1942795414
  Medicare reassignment NPD
• Anthony Petrarca, DC

  • Chiropractor
  • Carol Stream, IL
  • NPI 1164062626
  Medicare reassignment NPD
• Ronald James Losiewicz, DC

  • Chiropractor
  • Lyons, IL
  • NPI 1235165457
  NPD (past)

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1811948078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3842-44 HARLEM AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341219",
            "telephone_number": "708-442-3050",
            "fax_number": "708-442-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3842-44 HARLEM AVE",
            "city": "LYONS",
            "state": "IL",
            "postal_code": "605341219",
            "telephone_number": "708-442-3050",
            "fax_number": "708-442-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTICARE HEALTH CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "MIKROULIS",
        "authorized_official_first_name": "THEODOROS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-442-3050",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Mina Mankarious, PHARMD
• Jonathan Marquina, DPT
• Kelin Mendoza
• Theodoros Mikroulis, D.C.
• Abigail Lacey Moore, SLP
• My MRI LLC
• Molly Kachale Netter
• Melissa H Ortiz- Vondra, PMHNP
• Jocelyn Ortiz
• Kwame Owusu-Banahene

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.