MLM Massage LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MLM MASSAGE LLC

Doing business as

Lincoln Park Wellness

Practice address

2001 N Halsted St Ste 303
Chicago, IL 60614-4365

Phone

(312) 929-4037

NPI assigned

Nov 14, 2023

Last updated

Dec 4, 2023By 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

Jeanette Soto

Title

Credentialing /Manager

Phone

(312) 607-2334

Specialties & licenses 2

Addresses

Other names 1

• Lincoln Park Wellness Doing business as

Locations

Practitioners 1

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.

• Marie Leblanc, MPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1508459629
  NPD

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1861266454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N HALSTED ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144365",
            "telephone_number": "312-929-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N HALSTED ST STE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144365",
            "telephone_number": "312-929-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLM MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CREDENTIALING /MANAGER",
        "authorized_official_telephone_number": "312-607-2334"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MK Ortho Equipment, LLC
• MKM Therapy PLLC
• Edward H Mkrdichian, MD
• Mark Mkrdichian, D.D.S.
• Rebecca Rose Mladucky, PT, DPT
• Laura Mlnarik, PT
• Michael Aaron Mlnarik, LDN
• Alexei Mlodinow
• Mark Henry Mlynski, DDS
• MM Infusions LLC

• Physical Therapy Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.