Active NPI
McHenry Laboratory Services, S.C.
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
National Provider Identifier
1629225271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- MCHENRY LABORATORY SERVICES, S.C.
- Practice address
- 7531 S Stony Island Ave
Chicago, IL 60649-3954 - Phone
- (773) 947-2400
- NPI assigned
- Aug 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Welder
- Title
- General Manager
- Phone
- (847) 509-9779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
7531 S Stony Island Ave
Chicago, IL 60649-3954
Mailing address
306 Era Dr
Northbrook, IL 60062-1834
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01636129 | Other | IL | BCBS IL |
| DE6591 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
- NPI 1265468581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219708800000",
"number": "1629225271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 ERA DR",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7531 S STONY ISLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606493954",
"telephone_number": "773-947-2400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCHENRY LABORATORY SERVICES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A",
"authorized_official_last_name": "WELDER",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "847-509-9779"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "01636129",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE6591",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.