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SHOREWOOD ELITE HEALTHCARE SC
NPI 1912338062
General Practice in Shorewood, IL

Active since November 27, 2013
850 BROOK FOREST AVE UNIT OPQ, SHOREWOOD, IL 60404(815) 436-1988 Get Directions Write a Review

NPPES record last updated: September 24, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Shorewood Elite Healthcare Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHOREWOOD ELITE HEALTHCARE SC (NPI 1912338062) is a healthcare organization registered as a general practice in Shorewood, Illinois and active in the NPI registry since November 2013. The organization lists Michael William Hanley, Owner, as its authorized official.

NPPES Registry Identity

NPI1912338062
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSHOREWOOD ELITE HEALTHCARE SC
Location Address850 BROOK FOREST AVE UNIT OPQShorewood, IL 60404-8513
Mailing Address850 Brook Forest Ave Unit OpqShorewood, IL 60404-8513 · (815) 436-1988
Phone(815) 436-1988
Organization SubpartNo
Authorized OfficialMichael William HanleyOwner · (815) 436-1988
Enumeration DateNovember 27, 2013
Last NPPES UpdateSeptember 24, 2014
✔ NPI 1912338062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036072380
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 036072380 (IL)
850 BROOK FOREST AVE UNIT OPQ, Shorewood, IL 60404
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shorewood Elite Healthcare Sc's NPI number?

The NPI number for Shorewood Elite Healthcare Sc is 1912338062. It was assigned to this organization in the NPPES registry on November 27, 2013.

Where is Shorewood Elite Healthcare Sc located?

Shorewood Elite Healthcare Sc is located at 850 Brook Forest Ave Unit Opq, Shorewood, IL 60404. The listed phone number is (815) 436-1988.

What is Shorewood Elite Healthcare Sc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Shorewood Elite Healthcare Sc was last updated on September 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.