Organization
MDC PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BANUELOS DC (PRESIDENT)
(708) 452-1220
Entity
Organization
Contact information
Practice address
2502 N HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(708) 452-1220
Mailing address
2502 N HARLEM AVE, ELMWOOD PARK, IL 60707-2020
(630) 290-7850
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Enumeration date
01/08/2007
Last updated
01/20/2022
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