MEDICARE: H & M MEDICAL, S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038010477	IL

General Provider Information

NPI Number	:	1447560552
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H & M MEDICAL, S.C.

Provider Business Mailing Address
First Line	:	4707 W CERMAK RD
Second Line	:
City	:	CICERO
State	:	IL
Zip	:	60804-2508
Country	:	US
Telephone Number	:	877-797-0707
Fax Number	:	708-780-1237

Provider Business Practice Location Address
First Line	:	1604 SIBLEY BLVD
Second Line	:
City	:	CALUMET CITY
State	:	IL
Zip	:	60409-2231
Country	:	US
Telephone Number	:	877-797-0707
Fax Number	:	708-780-1237

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	MR. MICHAEL SHOAR
Credential	:	D.C.
Telephone Number	:	877-797-0707

Provider Enumeration Date	:	10/08/2010
Last Update Date	:	10/08/2010

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Directions to “H & M MEDICAL, S.C. ” Practice Location

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