NPIMap

Organization Active NPI

McHenry Medical Center SC

  • Chiropractor
  • McHenry, IL
National Provider Identifier
1366585291
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-005325 Issued in IL
Legal business name
MCHENRY MEDICAL CENTER SC
Practice address
202 S Il Route 31
McHenry, IL 60050-4018
Phone
(815) 344-1192
Fax
(815) 344-8070
NPI assigned
Feb 14, 2007
Last updated
Dec 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Dr. Timothy James Hartlett, D.C.NPI 1790896629
Title
Owner
Phone
(815) 344-1192

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038-005325 IL Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

202 S Il Route 31
McHenry, IL 60050-4018

Mailing address

202 S Il Route 31
McHenry, IL 60050-4018
Phone (815) 344-1192

National Provider Directory

National Provider Directory

Locations

202 S State Route 31
McHenry, IL 60050
Phone (815) 344-1192

4723 W Elm St
McHenry, IL 60050
Phone (815) 344-1192

Practitioners & affiliated clinicians

Practitioners 10

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1366585291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S IL ROUTE 31",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504018",
            "telephone_number": "815-344-1192",
            "fax_number": "815-344-8070"
        },
        {
            "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": "600504018",
            "telephone_number": "815-344-1192",
            "fax_number": "815-344-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "HARTLETT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-344-1192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-005325",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Dec 26, 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.