MTB 1, Inc.

Chiropractor · West Chicago, IL

Organization Active NPI

NPI number 1407124621

Practice location

171 N Neltnor Blvd # a
West Chicago, IL 60185-2315
Phone
(630) 231-0777
Fax
(630) 231-0777

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NPI record

NPI
1407124621
Entity type
Organization (Type 2)
Enumeration date
December 2, 2011
Last updated
December 20, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 038-010351 IL

Mailing address

956 Park Hill Circle
Aurora, IL 60502-9093
Phone
(630) 585-5283

Authorized official

Name
Dr. Michael L Bauer, D.C.
Title
President
Phone
(260) 494-6071

About MTB 1, Inc.

MTB 1, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 171 N Neltnor Blvd # a, West Chicago, IL 60185-2315. The NPI number 1407124621 was assigned on December 2, 2011 and the record was last updated on December 20, 2011.

MTB 1, Inc. lists a license in the registry: #038-010351 (IL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael L Bauer, D.C., President.

Frequently asked questions

What is the NPI number of MTB 1, Inc.?

The NPI number is 1407124621.

What is the phone number of MTB 1, Inc.?

The phone number listed for the practice location is (630) 231-0777.

Where is MTB 1, Inc. located?

171 N Neltnor Blvd # a, West Chicago, IL 60185-2315.

What is the taxonomy code for MTB 1, Inc.?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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