Individual provider Active NPI

Mario F. Gonzalez, D.C.

  • Chiropractor
  • Evanston, IL
National Provider Identifier
1871645572
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38010869 Issued in IL
Practice address
621 Madison St Ste C
Evanston, IL 60202-2203
Phone
(773) 470-6729
NPI assigned
Jan 16, 2007
Last updated
Aug 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38010869 IL Primary

Addresses

Primary practice location

621 Madison St Ste C
Evanston, IL 60202-2203

Mailing address

621 Madison St Ste C
Evanston, IL 60202-2203
Phone (773) 470-6729

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123001137 IL Practitioner - Chiropractic 4880029776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38010869ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mario DC Inc CurrentSince Jul 24, 2022 Accepting new patients
Chiromend Chiropractor CurrentSince Jan 10, 2020 Accepting new patients

Locations

621 Madison St
Ste B
Evanston, IL 60202

621 Madison St
Ste C
Evanston, IL 60202
Phone (847) 859-2563

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

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787356800000",
    "number": "1871645572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MADISON ST STE C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022203",
            "telephone_number": "773-470-6729",
            "fax_number": "312-237-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MADISON ST STE C",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022203",
            "telephone_number": "773-470-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "MARIO",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-08-22",
        "certification_date": "2026-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38010869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; 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.