# MCHENRY COUNTY ORTHOPAEDICS, S.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCHENRY COUNTY ORTHOPAEDICS, S.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1598163024
- **Legal business name:** MCHENRY COUNTY ORTHOPAEDICS, S.C.
- **Authorized official:** MS. MANETTE ANNE DECREMER (ADMINISTRATOR)
- **Authorized official phone:** (815) 788-2018

## Contact information

- **Practice address:** 10350 HALIGUS RD, SUITE 120, HUNTLEY, IL 60142-9545
- **Practice address phone:** (815) 356-5200
- **Practice address fax:** (815) 356-5262
- **Mailing address:** 420 N IL ROUTE 31, CRYSTAL LAKE, IL 60012-3711
- **Mailing address phone:** (815) 356-5200
- **Mailing address fax:** (815) 356-5262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2014
- **Last updated:** 12/16/2014