Provider Demographics
NPI:1093154973
Name:H M2 HEALTH P CORP
Entity Type:Organization
Organization Name:H M2 HEALTH P CORP
Other - Org Name:HEALTHSOURCE OF AURORA CENTRAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HANDEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:630-844-1900
Mailing Address - Street 1:PO BOX 7001
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60507-7001
Mailing Address - Country:US
Mailing Address - Phone:630-844-1900
Mailing Address - Fax:
Practice Address - Street 1:458 N LAKE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4106
Practice Address - Country:US
Practice Address - Phone:630-844-1900
Practice Address - Fax:630-844-1173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.012031111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty