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Contact Information

MICHAEL W HANLEY DC CO
850 BROOK FOREST AVE
UNIT P
SHOREWOOD, IL60404-8513
 Phone: 815-436-1988
 Fax: 815-436-2278
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Pediatric Chiropractor

111NP0017X 35 Chiropractic
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Rehabilitation

111NR0400X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MICHAEL W HANLEY DC CO

NPI Number 1396911095
LBN Legal business name MICHAEL W HANLEY DC CO
Authorized official MICHAEL HANLEY - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2008
Last updated 01/20/2014 - About 12 years ago
Identifiers
IL License # 038010803
IL Other 09932745 BLUE CROSS/BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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