Michael W Hanley DC Co

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038010803 Issued in IL

Legal business name

MICHAEL W HANLEY DC CO

Practice address

850 Brook Forest Ave
Unit P
Shorewood, IL 60404-8513

Phone

(815) 436-1988

Fax

(815) 436-2278

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael William Hanley, D.C.

Title

Chiropractor

Phone

(815) 436-1988

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• Hanley Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1396911095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE",
            "address_2": "UNIT P",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-436-1988",
            "fax_number": "815-436-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE",
            "address_2": "UNIT P",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-436-1988",
            "fax_number": "815-436-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W HANLEY DC CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "815-436-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010803",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "IL",
            "license": "038010803",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038010803",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "038010803",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "038010803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "09932745",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanley Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan McNamara, BCBA
• Jennifer Mele, APN
• Sharelle Mershon, APRN, FNP-BC
• Amanda Mertes, M.S. CCC-SLP
• Carolyn E Meyer, MS, RD, LDN
• Emily Michel, NP
• Midwest Upper Cervical
• Leigh Ann Miesner Hargreave, RDH
• John D. Mikuzis, DO
• Alisandra Militello

• Chiropractor in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.