Family Medicine For Mchenry County

NPI 1174503510 - Family Medicine - 207Q00000X

NPI Details
NPI 1174503510
Enumeration Date 01/20/2006
Last Updated 10/18/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHAEL MICHAEL
Position PRESIDENT
Phone (847) 658-2400
Fax (847) 658-7755
Practice Location
1095 PINGREE RD
SUITE 108
CRYSTAL LAKE IL, 60014-1725, US
Phone (847) 658-2400
Fax (847) 658-7755
Business Location
PO BOX 1588
CRYSTAL LAKE IL, 60039-1588, US
Phone (847) 658-2400
Fax (847) 658-7755
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1174503510 NPI Number
 

According to our database, Family Medicine For Mchenry County NPI is 1174503510, taxonomy code is 207Q00000X Family Medicine For Mchenry County physically located at 1095 Pingree Rd, Crystal Lake IL, 60014-1725. NPI Number 1033115704 has the healthcare provider type.

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1174503510 NPI number is provided on an as is basis without warranty of any kind. 1174503510 is maintained by the National Plan & Provider Enumeration System. The contents of Family Medicine For Mchenry County are for informational purposes only.