Banuelos, Michael G
Banuelos, Michael G is an individual health care provider with primary practice located at 2502 N Harlem Ave , Elmwood Park IL 60707-2020. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Banuelos, Michael G can be contacted via phone (708) 452-1220.Contact Information
Primary practice address
2502 N Harlem Ave
Elmwood Park IL 60707-2020
Phone: (708) 452-1220
Fax: (708) 452-6043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038005878 | Illinois |
Profile Details
| NPI number | 1578552253 |
|---|---|
| LBN Legal business name | Banuelos, Michael G |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jan 20th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578552253 | NPPES |
| Illinois | MEDICAID | 038005878 |
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