Organization Active NPI

H & M Medical, SC

  • Chiropractor
  • Cicero, IL
National Provider Identifier
1104138825
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010477 Issued in IL
Legal business name
H & M MEDICAL, SC
Practice address
4707 W Cermak Rd
Cicero, IL 60804-2508
Phone
(708) 780-1280
Fax
(708) 780-1237
NPI assigned
Jul 10, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Michael Shoar, D.C.
Title
Sole Proprietor/Ceo
Phone
(805) 797-4433

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Centro Medico (6 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010477 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

4707 W Cermak Rd
Cicero, IL 60804-2508

Mailing address

4707 W Cermak Rd
Cicero, IL 60804-2508
Phone (708) 780-1280

Other names 1

NPPES NPI Registry
  • Centro Medico Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2010.

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1104138825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "708-780-1280",
            "fax_number": "708-780-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "708-780-1280",
            "fax_number": "708-780-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & M MEDICAL, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "SHOAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE PROPRIETOR/CEO",
        "authorized_official_telephone_number": "805-797-4433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro Medico",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cicero, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.