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MCHENRY PEDIATRICS MD SC
NPI 1013158468
Pediatrics in Mchenry, IL

Active since March 16, 2009
3625 MUNICIPAL DR, MCHENRY, IL 60050(815) 385-8560(815) 385-8568 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mchenry Pediatrics Md Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCHENRY PEDIATRICS MD SC (NPI 1013158468) is a healthcare organization registered as a pediatrics in Mchenry, Illinois and active in the NPI registry since March 2009. The organization lists Taiwo M Fasehun, Provider, as its authorized official.

NPPES Registry Identity

NPI1013158468
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMCHENRY PEDIATRICS MD SC
Location Address3625 MUNICIPAL DRMchenry, IL 60050-5434
Mailing Address3625 Municipal DrMchenry, IL 60050-5434 · (815) 385-8560 · Fax (815) 385-8568
Phone(815) 385-8560
Fax(815) 385-8568
Organization SubpartNo
Authorized OfficialTaiwo M FasehunProvider · (815) 385-8560
Enumeration DateMarch 16, 2009
Last NPPES UpdateApril 29, 2011
✔ NPI 1013158468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036087368
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3625 MUNICIPAL DR, Mchenry, IL 60050
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Other Identifiers 3

Medicaid036087368IL
Medicare UPINF83698IL
Other05632223IL · Bc/bs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TAIWO M FASEHUN M.D.
Pediatrics
3625 MUNICIPAL DR
MCHENRY, IL 60050
McHenry County (815) 385-8560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mchenry Pediatrics MD Sc's NPI number?

The NPI number for Mchenry Pediatrics MD Sc is 1013158468. It was assigned to this organization in the NPPES registry on March 16, 2009.

Where is Mchenry Pediatrics MD Sc located?

Mchenry Pediatrics MD Sc is located at 3625 Municipal Dr, Mchenry, IL 60050. The listed phone number is (815) 385-8560.

What is Mchenry Pediatrics MD Sc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Mchenry Pediatrics MD Sc was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.