Michael Ruben Quintana, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038.012439 Issued in IL

Practice address

284 Vista Dr
Bolingbrook, IL 60490-5538

Phone

(331) 201-2863

NPI assigned

May 24, 2013

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mind Body Balance Clinic, PLLC

  • Nutrition Chiropractor
  • Wheaton, IL
  • NPI 1548880446
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1942647383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 VISTA DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905538",
            "telephone_number": "331-201-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 VISTA DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905538",
            "telephone_number": "331-201-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "MICHAEL",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-24",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038.012439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promed Chiropractic Institute P.C.
• Terrance Pyron
• Muneeb Qadri, MD
• Quill Family Chiropractic (Bolingbrook Family Chiropractic)
• Mitchell Quill, D.C.
• Veera Qureshi, PA-C
• Aisha Farheen Rafat
• Michael Ragland, MD
• Naqib Naseer Rahim-Bux
• Raina Dental PC

• Nutrition Chiropractor in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.