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Organization
MICHAEL W HANLEY DC CO
Active
Organization
MICHAEL W HANLEY DC CO
Active
Other names
Hanley Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WILLIAM HANLEY D.C. (CHIROPRACTOR)
(815) 436-1988
Entity
Organization
Contact information
Practice address
850 BROOK FOREST AVE, UNIT P, SHOREWOOD, IL 60404-8513
(815) 436-1988
(815) 436-2278
Mailing address
850 BROOK FOREST AVE, UNIT P, SHOREWOOD, IL 60404-8513
(815) 436-1988
(815) 436-2278
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010803
IL
111NP0017X
Pediatric Chiropractor
038010803
IL
111NR0400X
Rehabilitation Chiropractor
038010803
IL
111NS0005X
Sports Physician Chiropractor
038010803
IL
225100000X
Physical Therapist
038010803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932745
BLUE CROSS/BLUE SHIELD
IL
Enumeration date
05/02/2008
Last updated
01/20/2014
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