Individual provider Active NPI

Ana Maria Murillo, DC

  • Chiropractor
  • Granite City, IL
National Provider Identifier
1891268272
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038013309 Issued in IL
Practice address
2013 Johnson Rd Ste D
Granite City, IL 62040-3980
Phone
(618) 931-2050
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038013309 IL Primary

Addresses

Primary practice location

2013 Johnson Rd Ste D
Granite City, IL 62040-3980

Mailing address

1002 W Main St
Robinson, IL 62454-1235

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221001001 IL Practitioner - Chiropractic 6901144781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston County Chiropractic Center LTDGroup PAC ID 6002804937, 4 clinicians

Practice addresses (Care Compare)

402 N Plum St
Pontiac, IL 61764-1817
Phone (815) 844-4631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038013309ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Body Medical Wellness LTD CurrentSince Oct 6, 2022 Accepting new patients
Regenerative Health and Chiropractic, LTD PastSince Jan 31, 2019 Accepting new patients

Locations

402 N Plum St
Pontiac, IL 61764
Phone (815) 844-4631

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1891268272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W MAIN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 JOHNSON RD STE D",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403980",
            "telephone_number": "618-931-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "ANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038013309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.