Mchenry Medical Center Sc

NPI #1366585291 in Mchenry, Illinois

Provider Information

NPI Number: 1366585291
Entity Type: Organization
Organization Name: Mchenry Medical Center Sc
Primary Specialty: Chiropractor
Enumeration Date: Feb 14, 2007
Last Updated: Dec 26, 2012

Practice Location

Address: 202 S IL ROUTE 31
City: Mchenry
State: Illinois
ZIP Code: 60050-4018
Phone: (815) 344-1192

Authorized Official

Name: DR. TIMOTHY JAMES HARTLETT, D.C.
Title: OWNER
Phone: (815) 344-1192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Chiropractor	111N00000X	Primary

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