Timothy J Hartlett
CHICAGO LAND PAIN CENTERS SC


Address: 202 S Route 31, Mchenry, IL 60050-5415
Phone: 8153441192

Timothy J Hartlett (NPI# 1790896629, PAC ID# 3870673189) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1790896629
PAC ID by PECOS 3870673189
Professional Enrollment ID I20071227000440
Full Name Timothy J Hartlett
Organization Legal Name CHICAGO LAND PAIN CENTERS SC
Address 202 S Route 31
Mchenry
IL 60050-5415
Phone Number 8153441192
Gender M
Medical School PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year 1984
Primary Specialty CHIROPRACTIC
Secondary Specialties FAMILY PRACTICE, PAIN MANAGEMENT, PHYSICAL MEDICINE AND REHABILITATION
Group Practice PAC ID 0446493274
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
202 S Route 31, Mchenry, IL 60050-5415 8153441192 CHICAGO LAND PAIN CENTERS SC

Organization Information

Organization Legal Name CHICAGO LAND PAIN CENTERS SC
Physicians 1

Office Location

Street Address 202 S ROUTE 31
City MCHENRY
State IL
Zip 60050-5415

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Competitor

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City MCHENRY
Zip Code 60050
Specialty CHIROPRACTIC
City + Specialty MCHENRY + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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