Michael McKinley Hallberg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036115546 Issued in IL

Practice address

1549 W Chestnut St
Chicago, IL 60642-5202

Phone

(319) 321-9481

NPI assigned

May 10, 2007

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unified Therapeutics LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1154590305
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1942414669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 W CHESTNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425202",
            "telephone_number": "319-321-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 W CHESTNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425202",
            "telephone_number": "319-321-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLBERG",
        "first_name": "MICHAEL",
        "middle_name": "MCKINLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036115546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115546",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Hallas, DMD
• Elizabeth Marie Hallau, PA-C
• Davis Hallberg, DPT
• Heather Lynn Hallberg, D.T.
• James Hallberg, LCSW, CADC
• Kathryn Lyall Halldin, PA
• Jameson Halleen
• Matthew Aaron Hallenburg, R.PH.
• Emily Anne Hallendy, PSY.D.
• Jennifer Haller

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.