Active NPI
Michael James Hartlett, D.C.
- Chiropractor
- Elgin, IL
National Provider Identifier
1063658656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038.011277
- Practice address
- 810 S McLean Blvd
Elgin, IL 60123-6703 - Phone
- (847) 697-3472
- Fax
- (847) 697-3475
- NPI assigned
- Jan 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.011277 | IL | Primary |
Addresses
Primary practice location
810 S McLean Blvd
Elgin, IL 60123-6703
Mailing address
3 W Hawthorn Pkwy Ste 280
Vernon Hills, IL 60061-1446
Phone (224) 424-3147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 W Hawthorn Pkwy
Suite 280
Vernon Hills, IL 60061-1446
Phone (224) 424-3147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011277 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integral Medical & Rehabilitation, S.C | Chiropractor | Current | Accepting new patients |
| McHenry Medical Center SC | Chiropractor | Past | Accepting new patients |
| Superiorhealth & Wellness of McHenry LTD | Chiropractor | Past | Accepting new patients |
Locations
870 W End Ct
Ste 206
Vernon Hills, IL 60061
Phone (224) 424-3147
3 W Hawthorn Pkwy
Ste 280
Vernon Hills, IL 60061
Phone (224) 424-3147
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Schaumburg, IL
- NPI 1356866958
-
- Chiropractor
- McHenry, IL
- NPI 1366585291
-
- Physical Medicine & Rehabilitation Physician
- McHenry, IL
- NPI 1689946725
Chiropractor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1063658656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 W HAWTHORN PKWY STE 280",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611446",
"telephone_number": "224-424-3147",
"fax_number": "224-304-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 S MCLEAN BLVD",
"city": "ELGIN",
"state": "IL",
"postal_code": "601236703",
"telephone_number": "847-697-3472",
"fax_number": "847-697-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLETT",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-02",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.011277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.