MICHAEL W HANLEY DC CO (NPI# 1396911095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396911095 |
| Entity Type | Organization |
| Organization Name | MICHAEL W HANLEY DC CO |
| Other Organization Name | HANLEY CHIROPRACTIC |
| Practice Address |
850 Brook Forest Ave Unit P Shorewood IL 60404-8513 |
| Practice Telephone | 8154361988 |
| Practice Fax Number | 8154362278 |
| Mailing Telephone | 8154361988 |
| Mailing Fax Number | 8154362278 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2014-01-20 |
| Authorized Official Name | DR. MICHAEL WILLIAM HANLEY (CHIROPRACTOR) |
| Authorized Official Telephone | 8154361988 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 038010803 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
038010803 | IL | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
038010803 | IL | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
038010803 | IL | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 038010803 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 09932745 | 01 |
| Other Name | Type Code |
|---|---|
| Hanley Chiropractic | Doing Business As Name - Organization |
| Street Address |
850 BROOK FOREST AVE UNIT P |
| City | SHOREWOOD |
| State | IL |
| Zip Code | 60404-8513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174593016 | Action Physical Medicine & Rehabilitation, Sc | Physical Medicine & Rehabilitation | 850 Brook Forest Ave, Unit F, Shorewood, IL 60404-8513 | 2006-01-24 |
| 1598154247 | Mary Kluever | Nurse Practitioner | 850 Brook Forest Ave, Unit Q, Shorewood, IL 60404-8513 | 2015-01-19 |
| 1831588979 | Jayison Mccorkle | Nurse Practitioner | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2015-01-13 |
| 1275931016 | M W Hanley Dc LLC | Chiropractor | 850 Brook Forest Ave, Unit O, Shorewood, IL 60404-8513 | 2014-12-10 |
| 1720235765 | Nicole E Johnston | Speech-Language Pathologist | 850 Brook Forest Ave, Suite M, Shorewood, IL 60404-8513 | 2008-08-21 |
| 1740445899 | Megan Lynn Mutz | Occupational Therapy Assistant | 850 Brook Forest Ave, Unit L, Shorewood, IL 60404 | 2008-07-28 |
| 1184889586 | Wesley Drexler Groves | Clinic/Center | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2008-07-24 |
| 1891975637 | Janice P Sroka | Nurse Practitioner | 850 Brook Forest Ave, Shorewood, IL 60404-8513 | 2007-11-09 |
| 1063572071 | Michael William Hanley | Chiropractor | 850 Brook Forest Ave, Unit P, Shorewood, IL 60404-8513 | 2006-12-11 |
| 1821184458 | Jill Marie Kaspar | Physical Therapist | 850 Brook Forest Ave, Unit I, Shorewood, IL 60404-8513 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669035242 | Mobile Dental Care of Delaware, Pa | Dentist | 18622 S. Rte 59 Unit A-1, Shorewood, IL 60404 | 2019-04-18 |
| 1326476755 | Christine Briski | Speech-Language Pathologist | 210 W Black Road, Shorewood, IL 60404 | 2013-10-22 |
| 1598000630 | Michael G Mcdowell | Nurse Practitioner | 1039 Brookforest Ave, Shorewood, IL 60404 | 2012-11-29 |
| 1699028910 | Patti-ann Ebert | Occupational Therapist | 850 Brook Forest Ave., Unit L, Shorewood, IL 60404 | 2012-10-24 |
| 1043567720 | Matthew Reiot Klebenow | Occupational Therapist | 852a Sharp Drive, Provena Physical Therapy & Industrial Rehab. Center, Shorewood, IL 60404 | 2012-08-13 |
| 1366728222 | Linda K Alonso | Pharmacist | 1160 W. Jefferson St., Shorewood, IL 60404 | 2011-10-24 |
| 1205110186 | Lanie R Moreno | Physical Therapist | 850 Brookforest Ave Unit L, Shorewood, IL 60404 | 2011-10-10 |
| 1932386810 | Advanced Family Dental of Shorewood, P.C. | Dentist | 150 N Brook Forest Drive, Shorewood, IL 60404 | 2008-01-23 |
| 1003025941 | Kerri Lanum | Specialist/Technologist | 850 Brookforest Ave. F, Shorewood, IL 60404 | 2007-05-21 |
| 1124246756 | Alexander Grabavoy | Dentist | 1007 W. Jefferson Street, Shorewood, IL 60404 | 2007-04-20 |
| Find all providers in zip 60404 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316303779 | Nicholas James Szopinski | Chiropractor | 805 W Jefferson St Ste A, Shorewood, IL 60404-7379 | 2016-01-14 |
| 1235550641 | Jenna Ann Ewers | Chiropractor | 852 Sharp Dr, Unit J, Shorewood, IL 60404-8843 | 2014-01-02 |
| 1538433099 | Ellis Chiropractic Inc. | Chiropractor | 805 W Jefferson St, Unit A, Shorewood, IL 60404-7379 | 2012-03-01 |
| 1093001950 | Hong Lee Inc | Chiropractor | 1138 W Jefferson St, Shorewood, IL 60404-0703 | 2011-06-20 |
| 1053602821 | Beau James Banton | Chiropractor | 3510 N Oakland Ave Ste 201, Shorewood, WI 53211-2746 | 2011-04-27 |
| 1558687467 | Stephen Michael Sherman | Chiropractor | 2211 E Capitol Dr, Shorewood, WI 53211-2106 | 2010-04-16 |
| 1821311101 | Jesse Michael Lang | Chiropractor | 900 Geneva St, Shorewood, IL 60404-9403 | 2010-03-01 |
| 1356468391 | Nomon Thanadabouth | Chiropractor | 102 West Jefferson Street Unit 1, Shorewood, IL 60404 | 2007-03-23 |
| 1124176268 | Richard Charles Maedke | Chiropractor | 1410 E Capitol Dr, Shorewood, WI 53211-1901 | 2007-01-08 |
| 1821154840 | Richard Donald Zahorik | Chiropractor | 4166 N Oakland Avenue, Shorewood, WI 53211-2026 | 2006-12-28 |
| Find all providers in SHOREWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.