MHC Illinois Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MHC ILLINOIS INC

Practice address

1445 Chartres St
La Salle, IL 61301-1508

Phone

(815) 223-4700

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theodore M Duay III, C.P.A.

Title

Chief Financial Officer

Phone

(786) 888-3310

Specialties & licenses 1

Addresses

Other names 1

• Lasalle Healthcare Center Doing business as

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1174595672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615804",
            "telephone_number": "786-888-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 CHARTRES ST",
            "city": "LA SALLE",
            "state": "IL",
            "postal_code": "613011508",
            "telephone_number": "815-223-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHC ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "DUAY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "786-888-3310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lasalle Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Local NP PC
• David Lee Martin, LCSW
• Susan May
• Alexis Marie McCoy
• Kimberly Ann Mercer, M.S. L.M.F.T.
• Traci Midnight, LCSW
• Edward J Monroe, DDS
• Sarah Morscheiser, LCSW
• Movement RX LLC
• Patricia Mudge

• All providers in La Salle, IL
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.