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Organization
MCHENRY COUNTY ORTHOPAEDICS, S.C.
Active
Organization
MCHENRY COUNTY ORTHOPAEDICS, S.C.
Active
Parent organization
MCHENRY COUNTY ORTHOPAEDICS, S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCHENRY COUNTY ORTHOPAEDICS, S.C.
Authorized official
MS. MANETTE ANNE DECREMER (ADMINISTRATOR)
(815) 788-2018
Entity
Organization
Contact information
Practice address
10350 HALIGUS RD, SUITE 120, HUNTLEY, IL 60142-9545
(815) 356-5200
(815) 356-5262
Mailing address
420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3711
(815) 356-5200
(815) 356-5262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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