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EZEQUIEL MALDONADO-VAZQUEZ
NPI 1366063984
Chiropractor in St Charles, IL

Active since May 05, 2020
2325 DEAN ST STE 800O, ST CHARLES, IL 60175(331) 442-5140(217) 954-0135 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2023, May 14, 2020, May 5, 2020 (3 updates tracked since 2020).

About Ezequiel Maldonado-vazquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZEQUIEL MALDONADO-VAZQUEZ (NPI 1366063984) is an individual chiropractor in St Charles, Illinois, licensed in Illinois (38013547) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1366063984
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameEZEQUIEL MALDONADO-VAZQUEZ
Location Address2325 DEAN ST STE 800OSt Charles, IL 60175-4821
Mailing Address2325 Dean St Ste 800oSt Charles, IL 60175-4821 · (217) 778-6644
Phone(331) 442-5140
Fax(217) 954-0135
Sole ProprietorYes
Enumeration DateMay 5, 2020
Last NPPES UpdateMarch 3, 20233 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1366063984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 38013547
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2325 DEAN ST STE 800O, St Charles, IL 60175
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ezequiel Maldonado-vazquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ezequiel Maldonado-vazquez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mended Chiropractic LLC
Same address
Chiropractor
2325 DEAN ST STE 800O
St Charles, IL 60175
  • Reassigned Medicare billing, Illinois enrollment
NPI 1790485357 (331) 442-5140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETTER MOVEMENT HEALTH AND WELLNESS PLLC
Chiropractor
2325 DEAN ST STE 800O
SAINT CHARLES, IL 60175
Kane County (224) 630-0295
MENDED CHIROPRACTIC LLC
Chiropractor
2325 DEAN ST STE 800O
ST CHARLES, IL 60175
Kane County (331) 442-5140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ezequiel Maldonado-vazquez's NPI number?

The NPI number for Ezequiel Maldonado-vazquez is 1366063984. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Ezequiel Maldonado-vazquez located?

Ezequiel Maldonado-vazquez practices at 2325 Dean St Ste 800O, St Charles, IL 60175. The listed phone number is (331) 442-5140.

What is Ezequiel Maldonado-vazquez's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ezequiel Maldonado-vazquez enrolled in Medicare?

Yes. Ezequiel Maldonado-vazquez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ezequiel Maldonado-vazquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ezequiel Maldonado-vazquez reassigns Medicare benefits to Mended Chiropractic LLC (St Charles, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ezequiel Maldonado-vazquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ezequiel Maldonado-vazquez accept?

Health plans from Providence Health Plan list Ezequiel Maldonado-vazquez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ezequiel Maldonado-vazquez was last updated on March 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.