Shorewood Elite Healthcare SC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036072380 Issued in IL

Legal business name

SHOREWOOD ELITE HEALTHCARE SC

Practice address

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

Phone

(815) 436-1988

NPI assigned

Nov 27, 2013

Last updated

Sep 24, 2014By the provider in NPPES

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

Owner

Phone

(815) 436-1988

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1912338062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE UNIT OPQ",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-436-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BROOK FOREST AVE UNIT OPQ",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048513",
            "telephone_number": "815-436-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREWOOD ELITE HEALTHCARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-436-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036072380",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036072380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Scudieri
• Anil Sekhar, M.D.,
• Ami Arun Shah, DDS
• Ellen Bailey Shepherd, OTD, OTR/L
• Shorewood Chiropractic Clinic
• Shorewood Family Dental Care LLP
• Latashia Silas
• Pierra Skinner, RD, LDN
• Agnieszka Sobecka, DEVELOP THERAPIST
• William E Sobodas II, ATC

• General Practice Physician in Shorewood, IL
• Providers in Shorewood, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.