Organization
MCHENRY RADIOLOGISTS AND IMAGING ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MILTON HUMMEL (PRESIDENT)
(815) 759-0800
Entity
Organization
Contact information
Practice address
3929 MERCY DR, MCHENRY, IL 60050-3151
(815) 759-0800
(815) 759-2367
Mailing address
3929 MERCY DR, MCHENRY, IL 60050-3151
(815) 759-0800
(815) 759-2367
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042007280
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0721932261
BCBS
IL
Enumeration date
07/25/2006
Last updated
11/21/2012
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