Mchenry Medical Center, S.c.

NPI #1063774636 in Mchenry, Illinois

Provider Information

NPI Number: 1063774636
Entity Type: Organization
Organization Name: Mchenry Medical Center, S.c.
Subpart: Yes (part of a larger organization)
Parent Organization: MCHENRY MEDICAL CENTER, S.C.
Primary Specialty: Non-Pharmacy Dispensing Site
Enumeration Date: Jun 11, 2012
Last Updated: Jun 11, 2012

Practice Location

Address: 202 S IL ROUTE 31
City: Mchenry
State: Illinois
ZIP Code: 60050-5415
Phone: (815) 344-1192

Authorized Official

Name: DR. RENEE S. HARTZ, MD
Title: MEDICAL DIRECTOR
Phone: (815) 344-1192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-Pharmacy Dispensing Site	332900000X	Primary

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