McHenry Medical Center, S.C.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MCHENRY MEDICAL CENTER, S.C.

Practice address

202 S Il Route 31
McHenry, IL 60050-5415

Phone

(815) 344-1192

NPI assigned

Jun 11, 2012

Organization subpart

Yes

Parent organization

MCHENRY MEDICAL CENTER, S.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Renee S. Hartz, MD

Title

Medical Director

Phone

(815) 344-1192

Specialties & licenses 1

Addresses

Part of

McHenry Medical Ctr

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1063774636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S IL ROUTE 31",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505415",
            "telephone_number": "815-344-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY MEDICAL CENTER, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCHENRY MEDICAL CENTER, S.C.",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "HARTZ",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-344-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in McHenry, IL
• Providers in McHenry, IL by specialty
• Non-Pharmacy Dispensing Site in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.