| Mdc Physicians Ltd | |
|
2502 N Harlem Ave Elmwood Park IL 60707-2020 | |
| (708) 452-1220 | |
| Not Available |
| Full Name | Mdc Physicians Ltd |
|---|---|
| Speciality | Chiropractor |
| Location | 2502 N Harlem Ave, Elmwood Park, Illinois |
| Authorized Official Name and Position | Michael Banuelos (PRESIDENT) |
| Authorized Official Contact | 7084521220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdc Physicians Ltd 2502 N Harlem Ave Elmwood Park IL 60707-2020 Ph: (630) 290-7850 | Mdc Physicians Ltd 2502 N Harlem Ave Elmwood Park IL 60707-2020 Ph: (708) 452-1220 |
| NPI Number | 1295883668 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 01/20/2022 |
| Medicare PECOS PAC ID | 1951548817 |
|---|---|
| Medicare Enrollment ID | O20130513000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295883668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Michael G Banuelos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578552253 PECOS PAC ID: 7618910993 Enrollment ID: I20050607001297 |
| Provider Name | Linda H Morris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295061455 PECOS PAC ID: 9133396724 Enrollment ID: I20120123000529 |
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