MERCY HEALTH SYSTEM CORPORATION (NPI# 1467578138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467578138 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH SYSTEM CORPORATION |
| Other Organization Name | MERCY MCHENRY MEDICAL CENTER |
| Practice Address |
3922 Mercy Dr Mchenry IL 60050-3151 |
| Mailing Address |
1000 Mineral Point Ave Janesville WI 53548-2940 |
| Practice Telephone | 8153444499 |
| Mailing Telephone | 6087566000 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | JOHN W COOK (SENIOR VP/CFO) |
| Authorized Official Telephone | 6087566000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCYROCKFORD HEALTH SYSTEM CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 310800 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 14D1026736 | 01 |
| Other Name | Type Code |
|---|---|
| MERCY McHENRY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688584 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2537 W Algonquin Rd, Algonquin, IL 60102-9403 | 2013-01-08 |
| 1487924593 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 3400 Deerfield Drive, Janesville, WI 53546-3557 | 2012-01-05 |
| 1639460736 | Mercy Health System Corporation | Pharmacy | 1010 N Washington St Ste 107, Janesville, WI 53548-1500 | 2011-04-22 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1356468573 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1001 Grant St, Harvard, IL 60033-1822 | 2007-03-23 |
| 1437276615 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 47 W Acorn Ln, Lake In The Hills, IL 60156-4804 | 2007-03-23 |
| 1639200108 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 1038 E Geneva St, Delavan, WI 53115-1921 | 2007-03-08 |
| 1699847723 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 2401 Harnish Dr, Algonquin, IL 60102-6846 | 2006-11-14 |
| 1013953504 | Mercy Health System Corporation | Pharmacy | 725 S Janesville St, Milton, WI 53563-1775 | 2006-06-21 |
| 1659786457 | Mercy Health System Corporation | Medicare Defined Swing Bed Unit | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2014-07-01 |
| Street Address |
3922 MERCY DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895545 | Abby C. Von Heimburg | Emergency Medicine | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2005-07-15 |
| 1366984783 | Lauren E. Loback | Physical Therapy Assistant | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2016-11-16 |
| 1609263110 | Jill L Ritzman | Occupational Therapist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2015-04-22 |
| 1760882542 | Susan Mercado | Physical Therapist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2014-08-28 |
| 1790117422 | Caitlin S Rock | Audiologist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2013-08-05 |
| 1831455021 | Velislava Valentinova Lozeva | Internal Medicine | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2012-04-02 |
| 1174818272 | Jakob Christopher Thorud | Podiatrist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2011-06-16 |
| 1134436835 | Sarah C Al-salim | Audiologist | 3922 Mercy Dr, Mchenry, IL 60050-3151 | 2010-09-02 |
| 1467684613 | Maria Joy Wolff | Physical Therapist | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2009-08-20 |
| 1063637544 | Syed Ommar Hassan | Family Medicine | 3922 Mercy Dr, Mchenry, IL 60050-3179 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235503517 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 3900 W Elm St, Mchenry, IL 60050-4362 | 2015-11-24 |
| 1780989905 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 213 Front St., Mchenry, IL 60050-5501 | 2011-01-19 |
| 1891860664 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 649 Ridgeview Dr, Mchenry, IL 60050-7012 | 2006-11-21 |
| 1285722090 | Medela, Inc. | Durable Medical Equipment & Medical Supplies | 1101 Corporate Dr, Mchenry, IL 60050-7006 | 2006-10-10 |
| 1063427201 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3925 W Elm St, Mchenry, IL 60050-4361 | 2006-07-29 |
| 1114940467 | Gattone Pharmacy | Durable Medical Equipment & Medical Supplies | 616 S Route 31, Mchenry, IL 60050-8269 | 2006-07-26 |
| 1154343960 | Target Corporation | Durable Medical Equipment & Medical Supplies | 1860 N Richmond Rd, Mchenry, IL 60051-5416 | 2006-07-24 |
| 1457307373 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 4222 W Elm St Ste B, Mchenry, IL 60050 | 2006-05-25 |
| 1942665765 | Alden Terrace of Mchenry Rehab. and Health Care Center, Inc. | Durable Medical Equipment & Medical Supplies | 803 Royal Dr, Mchenry, IL 60050-4209 | 2015-12-21 |
| 1417227216 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 2253 N Richmond Rd, Mchenry, IL 60051-5401 | 2012-01-10 |
| Find all providers in MCHENRY | ||||
Please comment or provide details below to improve the information on MERCY HEALTH SYSTEM CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.