Hanover Park Physical Medicine & Rehabilitation LTD

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HANOVER PARK PHYSICAL MEDICINE & REHABILITATION LTD

Practice address

1802 Irving Park Road
Hanover Park, IL 60133

Phone

(630) 837-8900

Fax

(630) 837-8984

NPI assigned

Sep 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bradley H Hayashi, DC

Title

Clinic Director

Phone

(630) 837-8900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225120462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 IRVING PARK ROAD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "630-837-8900",
            "fax_number": "630-837-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 IRVING PARK ROAD",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "60133",
            "telephone_number": "630-837-8900",
            "fax_number": "630-837-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER PARK PHYSICAL MEDICINE & REHABILITATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "630-837-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David M Gursky, PH D
• Elena D Hain, B.A.
• Susanne Michele Hall, P.T.
• Hanover Dental PC
• Hanover Park Dental Clinic, LLC
• Hanover Pharmacy, LLC.
• Hanover Smile Dental P.C.
• Kathleen Marie Hansen, DDS
• Hansen&Hansen DDS LDT
• Harris Chiropractic, Inc

• Chiropractor in Hanover Park, IL
• Providers in Hanover Park, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.