Organization Active NPI

Hult Clinic of Integrated Health Services,PC

  • Health Service Clinic/Center
  • McHenry, IL
National Provider Identifier
1841594686
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
060004159 Issued in IL
Legal business name
HULT CLINIC OF INTEGRATED HEALTH SERVICES,PC
Practice address
306 Front St
McHenry, IL 60050-5599
Phone
(815) 344-0900
Fax
(815) 344-1148
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Dr. Frederick E Hult, DCNPI 1811002934
Title
Clinic Director
Phone
(815) 344-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 060004159 IL Primary

Addresses

Primary practice location

306 Front St
McHenry, IL 60050-5599

Mailing address

306 Front St
McHenry, IL 60050-5599
Phone (815) 344-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110413000908 IL Part B Supplier - Clinic/Group Practice 1254515398 Receives reassigned benefits from 1 practitioner
Practice locations: McHenry, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1841594686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505599",
            "telephone_number": "815-344-0900",
            "fax_number": "815-344-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505599",
            "telephone_number": "815-344-0900",
            "fax_number": "815-344-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HULT CLINIC OF INTEGRATED HEALTH SERVICES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "HULT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "815-344-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "060004159",
            "primary": true
        }
    ],
    "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 May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.