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Organization

SHOREWOOD ELITE HEALTHCARE SC

Active
Organization subpart
No

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036072380
IL
208D00000X
General Practice Physician
Primary
036072380
IL

Other

Enumeration date
11/27/2013
Last updated
09/24/2014
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