JMCK Holding Corp

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

JMCK HOLDING CORP

Doing business as

Windy City Cryo

Practice address

930 Pyott Rd Ste 101&102
Crystal Lake, IL 60014-8720

Phone

(815) 219-8777

NPI assigned

Apr 6, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James R McKinney Jr.

Title

President/Owner

Phone

(815) 353-9789

Specialties & licenses 1

Addresses

Other names 1

• Windy City Cryo Doing business as

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1699272617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 RITA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143801",
            "telephone_number": "815-353-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 PYOTT RD STE 101&102",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148720",
            "telephone_number": "815-219-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMCK HOLDING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "815-353-9789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windy City Cryo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.