Organization Active NPI

Ifzal K Bangash M.D.S.C.

  • Internal Medicine Physician
  • McHenry, IL
National Provider Identifier
1962510537
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036086667 Issued in IL
Legal business name
IFZAL K BANGASH M.D.S.C.
Practice address
4314 W Crystal Lake Rd
Suite D
McHenry, IL 60050-4211
Phone
(815) 344-2300
Fax
(815) 344-2334
NPI assigned
Aug 25, 2006
Last updated
Aug 8, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Dr. Ifzal K Bangash, M.D.NPI 1437267010
Title
President
Phone
(815) 344-2300

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
Internal Medicine Physician 207R00000X 036086667 IL Primary

Addresses

Primary practice location

4314 W Crystal Lake Rd
Suite D
McHenry, IL 60050-4211

Mailing address

4309 W Medical Center Dr
McHenry, IL 60050
Phone (815) 338-6600

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, 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": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1962510537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-338-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W CRYSTAL LAKE RD",
            "address_2": "SUITE D",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504211",
            "telephone_number": "815-344-2300",
            "fax_number": "815-344-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFZAL K BANGASH M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "BANGASH",
        "authorized_official_first_name": "IFZAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-344-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036086667",
            "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 Aug 8, 2017; 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.