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DR MARIO DC INC
NPI 1053840686
Clinic/Center - Health Service in Evanston, IL

Active since June 07, 2017
621 MADISON ST STE C, EVANSTON, IL 60202(847) 859-2563 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jun 7, 2017 (2 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About DR MARIO DC INC

This page provides the complete NPI Profile along with additional information for Dr Mario Dc Inc, a provider established in Evanston, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1053840686 assigned on June 2017. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Mario F. Gonzalez Dc (President)

NPI
1053840686 Verify this NPI
Provider Name
DR MARIO DC INC
Entity Type
Organization
Location Address
621 MADISON ST STE C EVANSTON, IL 60202
Location Phone
(847) 859-2563
Mailing Address
621 MADISON ST STE C EVANSTON, IL 60202
Mailing Phone
(847) 859-2563
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARIO F. GONZALEZ DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(847) 859-2563

Reviews for DR MARIO DC INC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. MARIO F. GONZALEZ D.C.
Chiropractor
621 MADISON ST STE C
EVANSTON, IL 60202
Cook County (847) 859-2563

Frequently Asked Questions

What is DR MARIO DC INC's NPI number?

The NPI number assigned to this healthcare provider is 1053840686, enumerated as an "organization" on June 07, 2017.

Where is the provider located?

The provider is located at 621 MADISON ST STE C EVANSTON, IL 60202 and the phone number is (847) 859-2563.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.