Organization
ELGIN MEDICAL PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES HARTLETT D.C. (CEO)
(815) 404-3064
Entity
Organization
Contact information
Practice address
1037 E WOODFIELD RD., SCHAUMBURG, IL 60173
(815) 404-3064
(847) 697-3475
Mailing address
1116 PALMER CT, CRYSTAL LAKE, IL 60014-6938
(815) 404-3064
(847) 697-3475
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
IL
225100000X
Physical Therapist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1500023738
CITY OF ELGIN LICENSE
IL
Enumeration date
02/20/2015
Last updated
02/29/2016
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