Provider Demographics
NPI:1619068962
Name:MCHENRY NAPRAPATHIC CENTER, P.C.
Entity Type:Organization
Organization Name:MCHENRY NAPRAPATHIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:E. ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:SZALOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DN
Authorized Official - Phone:815-344-5522
Mailing Address - Street 1:4106 W CRYSTAL LAKE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-4204
Mailing Address - Country:US
Mailing Address - Phone:815-344-5522
Mailing Address - Fax:
Practice Address - Street 1:4106 W CRYSTAL LAKE RD
Practice Address - Street 2:SUITE A
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-4204
Practice Address - Country:US
Practice Address - Phone:815-344-5522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL05625444OtherBC / BS OF ILLINOIS