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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578552253 NPPES
Illinois MEDICAID 038005878

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