Organization
H & M MEDICAL, SC
Active
Other names
Centro Medico
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHOAR D.C. (SOLE PROPRIETOR/CEO)
(805) 797-4433
Entity
Organization
Contact information
Practice address
3633 W FULLERTON AVE, CHICAGO, IL 60647-2344
(773) 772-6630
(773) 772-6632
Mailing address
5103 W CERMAK RD, CICERO, IL 60804-2902
(708) 780-1280
(708) 780-1237
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
038-010477
IL
Other
Enumeration date
07/10/2010
Last updated
05/01/2017
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