MEDICARE: S & M MAKHOOL, INC.

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	2301006008	MI

General Provider Information

NPI Number	:	1790858298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & M MAKHOOL, INC.

Provider Business Mailing Address
First Line	:	7269 INDIAN CREEK DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-3123
Country	:	US
Telephone Number	:	248-914-8207
Fax Number	:

Provider Business Practice Location Address
First Line	:	5452 SCHAEFER RD
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-3223
Country	:	US
Telephone Number	:	313-586-3100
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. SHEILA MARIE MAKHOOL
Credential	:	D.C.
Telephone Number	:	248-914-8207

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	03/26/2010

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