Active NPI
H & M Medical, SC
Doing business as Centro Medico
- Interventional Pain Medicine Physician
- Chicago, IL
National Provider Identifier
1659683373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 038-010477
- Legal business name
- H & M MEDICAL, SC
- Doing business as
- Centro Medico
- Practice address
- 3633 W Fullerton Ave
Chicago, IL 60647-2344 - Phone
- (773) 772-6630
- Fax
- (773) 772-6632
- NPI assigned
- Jul 10, 2010
- Last updated
- May 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Shoar, D.C.
- Title
- Sole Proprietor/Ceo
- Phone
- (805) 797-4433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 038-010477 | IL | Primary |
Addresses
Primary practice location
3633 W Fullerton Ave
Chicago, IL 60647-2344
Mailing address
5103 W Cermak Rd
Cicero, IL 60804-2902
Phone (708) 780-1280
Other names 1
- Centro Medico
National Provider Directory
National Provider Directory- Tax ID family
- Centro Medico
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
Locations
5103 W Cermak Rd
Cicero, IL 60804
Phone (708) 780-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493596800000",
"number": "1659683373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5103 W CERMAK RD",
"city": "CICERO",
"state": "IL",
"postal_code": "608042902",
"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": "3633 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606472344",
"telephone_number": "773-772-6630",
"fax_number": "773-772-6632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "H & M MEDICAL, SC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-10",
"last_updated": "2017-05-01",
"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": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "IL",
"license": "038-010477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Centro Medico",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Chicago, IL
- H & D Enterprises Inc (Lees Pharmacy)
- H & H Diagnostics, Inc
- H & L Passenger Services, Inc.
- H & M Medical, S.C. (Access Rehab)
- H & M Medical, SC (Centro Medico)
- H & S Health Specialists LLC
- H & U of West Loop LLC (The Chicago Dental Studio)
- H Demitri Medical SC
- H. Sharkey Nutrition LLC
- H&H Foot and Ankle Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.