OrganizationActive
Mchenry Pediatrics MD Sc
NPI 1013158468 · Pediatrics Physician · Mchenry, IL
Provider details
- NPI number
- 1013158468
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Taiwo Fasehun, Provider(815) 385-8560
- License
- 036087368 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3625 Municipal Dr
Mchenry, IL 60050-5434
Phone: (815) 385-8560
Fax: (815) 385-8568
Street-level locationGet directions
Mailing address
3625 Municipal Dr
Mchenry, IL 60050-5434
Registry dates
- Enumerated
- 2009-03-16
- Last updated
- 2011-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.