Provider Demographics
NPI:1447560552
Name:H & M MEDICAL, S.C.
Entity Type:Organization
Organization Name:H & M MEDICAL, S.C.
Other - Org Name:ACCESS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:877-797-0707
Mailing Address - Street 1:4707 W CERMAK RD
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-2508
Mailing Address - Country:US
Mailing Address - Phone:877-797-0707
Mailing Address - Fax:708-780-1237
Practice Address - Street 1:1604 SIBLEY BLVD
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-2231
Practice Address - Country:US
Practice Address - Phone:877-797-0707
Practice Address - Fax:708-780-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-08
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty