Dr. Michael Donoghue
Chiropractic Sports Physician
1129 Kristin Dr
Libertyville
, Illinois 60048-1280
Dr. Michael Donoghue
Chiropractic Sports Physician
1129 Kristin Dr
Libertyville
, Illinois 60048-1280
(847) 634-5521
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Michael Donoghue
- 175 Olde Half Day Rd Ste 294
- Lincolnshire, IL
- Zip : 60069-3063
- Fax : (847) 634-5521
- Phone : (847) 634-1115
Second Address
- Dr. Michael Donoghue
- 1129 Kristin Dr
- Libertyville, IL
- Zip : 60048-1280
- Phone : (847) 918-7612
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | IL |
National Provider Identifier
| NPI | 1336205400 |
|---|---|
| Provider Name | Dr. Michael Donoghue |
| First Address | Lincolnshire, IL 60069-3063 |
| Second Address | Libertyville, IL 60048-1280 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/12/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T38339 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.