Mercy Health System Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

310800 Issued in WI

Legal business name

MERCY HEALTH SYSTEM CORPORATION

Doing business as

Mercy McHenry Eye Center

Practice address

406 Front St
Ste C
McHenry, IL 60050-5593

Phone

(815) 363-2021

Fax

(815) 363-8040

NPI assigned

Mar 23, 2007

Last updated

Sep 29, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEATLH CORPORATIONAs reported in NPPES

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

Authorized official

Name

John W Cook

Title

Senior VP/Cfo

Phone

(608) 756-6000

Specialties & licenses 1

Addresses

Other names 1

• Mercy McHenry Eye Center Doing business as

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1922125103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 FRONT ST",
            "address_2": "STE C",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505593",
            "telephone_number": "815-363-2021",
            "fax_number": "815-363-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEATLH CORPORATION",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "608-756-6000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "310800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy McHenry Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julian Jesus Mendoza
• Anthony M Mensik, RPH
• Maribeth Mensik
• Susan Mercado, PT
• Mercy Health System Corporation (MERCY McHENRY MEDICAL CENTER)
• Sandra Mereness
• Meridian Behavioral Health, PC
• Estela H Merkel
• Kayla Rae Metreger
• Stephanie Meyer Strumberger, MA, LCPC

• Durable Medical Equipment & Medical Supplies in McHenry, IL
• Providers in McHenry, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.