NPIMap

Organization Active NPI

McHenry Radiologists and Imaging Associates SC

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1083637094
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
042007280 Issued in IL
Legal business name
MCHENRY RADIOLOGISTS AND IMAGING ASSOCIATES SC
Practice address
3929 Mercy Dr
McHenry, IL 60050-3151
Phone
(815) 759-0800
Fax
(815) 759-2367
NPI assigned
Jul 25, 2006
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Mr. Milton HummelNPI 1154356202
Title
President
Phone
(815) 759-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 042007280 IL Primary

Addresses

Primary practice location

3929 Mercy Dr
McHenry, IL 60050-3151

Mailing address

3929 Mercy Dr
McHenry, IL 60050-3151
Phone (815) 759-0800

Other identifiers 1

IdentifierTypeStateIssuer
0721932261OtherILBCBS

National Provider Directory

National Provider Directory

Locations

3929 Mercy Dr
McHenry, IL 60050
Phone (815) 759-0800

4309 W Medical Center Dr
Ste B203
McHenry, IL 60050
Phone (815) 759-0800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1083637094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-759-0800",
            "fax_number": "815-759-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 MERCY DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600503151",
            "telephone_number": "815-759-0800",
            "fax_number": "815-759-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY RADIOLOGISTS AND IMAGING ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "MILTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-759-0800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "042007280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0721932261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.