Mchenry Pediatrics Md Sc
Pediatrics
Mchenry Pediatrics Md Sc is a Mchenry, Illinois based Pediatric center with medical specialization in
General Pediatrics.
It is located at
3625 Municipal Dr, Mchenry, Illinois - 60050-5434. They can be contacted on phone at
815-385-8560 and fax number 815-385-8568.
NPI number (Unique professional ID) for Mchenry Pediatrics Md Sc is
1013158468 which was assigned by NPPES on 16 Mar, 2009 and it was last updated on 29 Apr, 2011.
Mchenry Pediatrics Md Sc license number is
036087368 for Pediatrics (208000000X) in Illinois.
Mchenry Pediatrics Md Sc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mchenry Pediatrics Md Sc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mchenry Pediatrics Md Sc |
|---|
Business Address:
Mchenry Pediatrics Md Sc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3625 Municipal Dr
Mchenry, IL, 60050-5434
United States |
|---|
| Phone Number : | 815-385-8560 |
|---|
| Fax Number : | 815-385-8568 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013158468 |
|---|
| NPI Entity Type : | Organization |
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| First Enrolment Date : | 16 Mar, 2009 |
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| Last Updated On : | 29 Apr, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Taiwom Fasehun |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PROVIDER |
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| Phone Number : | 815-385-8560 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mchenry Pediatrics Md Sc are as mentioned. Primary taxonomy code for Mchenry Pediatrics Md Sc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036087368 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Mchenry Pediatrics Md Sc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036087368 | MEDICAID | IL | |
| 05632223 | Other | IL | BC/BS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3625 Municipal Dr
Mchenry, IL, 60050-5434
United States |
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| Phone Number : | 815-385-8560 |
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| Fax Number : | 815-385-8568 |
|---|
Business Location:
Patients can refer following map for directions to
Mchenry Pediatrics Md Sc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.