Individual
JOHN EDWARD ALBANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4302 W CRYSTAL LAKE RD STE A, MCHENRY, IL 60050-4248
(815) 344-3270
Mailing address
4302 W CRYSTAL LAKE RD STE A, MCHENRY, IL 60050-4248
(815) 344-3270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600215
BC/BS
IL
Enumeration date
10/04/2006
Last updated
07/08/2007
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