is a Neuroradiology in Mchenry, Illinois. practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for is 1740231364. The last update date is .
's current location address is 4201 W Medical Center Dr, Mchenry, Illinois. You can contact this provider via phone number 8153345566 and fax number 8157594008. The mailing address for is 4201 W Medical Center Dr, Mchenry, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 4201 W Medical Center Dr, Mchenry, Illinois |
| Phone Number | 8153345566 |
| Fax Number | 8157594008 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740231364 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 4201 W Medical Center Dr |
|---|---|
| City | Mchenry |
| State | Illinois (IL) |
| Post Code | 600508409 |
| Phone Number | 8153345566 |
| Fax Number | 8157594008 |
Provider's Primary Taxonomy Detail
| Speciality | Neuroradiology |
|---|---|
| Taxonomy | 2085N0700X |
| Licence No | 44526 |
|
Definition: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1621107 | MN | AMERICA'S PPO | |
| 316533700 | MN | -- | |
| 1604293 | MN | MEDICA | |
| 1031005 | MN | PREFERRED ONE | |
| 23937 | ND | BLUE CROSS | |
| 9227750 | MN | DAKOTA CARE | |
| 300131148 | MN | RAILROAD MEDICARE WI | |
| HP35296 | MN | HEALTHPARTNERS | |
| 563353 | IA | -- | |
| 141900 | MN | UCARE |
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