OrganizationActive
Mchenry Medical Center, S.c.
NPI 1063774636 · Non-Pharmacy Dispensing Site · Mchenry, IL
Provider details
- NPI number
- 1063774636
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Mchenry Medical Center, S.c.
- Organization subpart
- Yes
- Authorized official
- Renee Hartz, Medical Director(815) 344-1192
Specialties & taxonomies
Suppliers
Practice location
202 S Il Route 31
Mchenry, IL 60050-5415
Phone: (815) 344-1192
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2012-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.