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Organization

M W HANLEY DC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W HANLEY D.C. (OWNER)
(815) 436-1988
Entity
Organization

Contact information

Practice address
850 BROOK FOREST AVE, UNIT O, SHOREWOOD, IL 60404-8513
(815) 436-1988
(815) 436-2278
Mailing address
850 BROOK FOREST AVE, UNIT O, 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

Enumeration date
12/10/2014
Last updated
12/10/2014
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