NORTHERN ILLINOIS MEDICAL CENTER (NPI# 1982611281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982611281 |
| Entity Type | Organization |
| Organization Name | NORTHERN ILLINOIS MEDICAL CENTER |
| Other Organization Name | CENTEGRA HOSPITAL MCHENRY |
| Practice Address |
4201 W Medical Center Dr Mchenry IL 60050 |
| Mailing Address |
4201 W Medical Center Dr Mchenry IL 60050-8409 |
| Practice Telephone | 8153445000 |
| Practice Fax Number | 8153449848 |
| Mailing Telephone | 8153445000 |
| Mailing Fax Number | 8153449848 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | DAVID TOMLINSON (CIO & CFO) |
| Authorized Official Telephone | 8157885831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | Hospital Units | ||
| Y | 282N00000X | General Acute Care Hospital | 0003889 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 319 | 01 |
| Other Name | Type Code |
|---|---|
| Centegra Hospital McHenry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3701 Doty Rd, Woodstock, IL 600987509 | 8153382500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770867954 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 1118 North Main Street, Algonquin, IL 60102-3482 | 2011-10-05 |
| 1780989905 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 213 Front St., Mchenry, IL 60050-5501 | 2011-01-19 |
| 1447298450 | Northern Illinois Medical Center | Home Health | 213 Front St, Suite 2, Mchenry, IL 60050-5501 | 2006-06-02 |
| 1962036921 | Northern Illinois Medical Center | Clinic/Center | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2020-02-28 |
| 1023497823 | Northern Illinois Medical Center | Durable Medical Equipment & Medical Supplies | 1118 N Main St, Algonquin, IL 60102-3482 | 2015-05-26 |
| 1497764526 | Northern Illinois Medical Center | Rehabilitation Unit | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2006-08-07 |
| Street Address |
4201 W MEDICAL CENTER DR |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973458 | John A. Sharum | Physician Assistant | 4201 W Medical Center Dr, Emergency Department, Mchenry, IL 60050-8409 | 2005-09-27 |
| 1245869502 | Haile E Fitzgerald | Nurse Anesthetist, Certified Registered | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-07 |
| 1013546639 | Thiago Gagliano Juca Domingues De Oliveira | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-06 |
| 1619506508 | Shirly Susan Samuel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-03 |
| 1831728856 | Grace Ying | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1356970347 | Om Parkash | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-04-02 |
| 1164052023 | Apollo Medflight, LLC | Ambulance | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2020-01-20 |
| 1770142622 | Annie Maria Skariah | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-12 |
| 1730747809 | Aatma Ram | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-06-03 |
| 1245898923 | Harvey Patel | Internal Medicine | 4201 W Medical Center Dr, Mchenry, IL 60050-8409 | 2019-05-29 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497136071 | Centegra Health System | General Acute Care Hospital | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050-8437 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619442266 | Pipeline-west Suburban Medical Center, LLC | General Acute Care Hospital | West Suburban Medical Center, 3 Erie Court, Oak Park, IL 60302-2519 | 2018-10-10 |
| 1093241275 | Northwest Community Hospital | General Acute Care Hospital | 2704 Royal Saint Georges Ct, Saint Charles, IL 60174-8754 | 2017-05-05 |
| 1831620632 | Macneal Hospital | General Acute Care Hospital | 665 Grove Dr Apt 112, Buffalo Grove, IL 60089-4038 | 2017-03-23 |
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1861935181 | Sarah Landon | General Acute Care Hospital | 6407 Martin St, Crystal Lake, IL 60014-4959 | 2016-11-19 |
| 1942750831 | Advocate Good Samaritan | General Acute Care Hospital | 4427 Woodward Ave, Downers Grove, IL 60515 | 2016-10-04 |
| 1063960870 | Mid America Emergency Medicine | General Acute Care Hospital | 700 N First St, Springfield, IL 62781-0001 | 2016-09-21 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
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| 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.