NEURO SPINE CENTER OF NORTHERN ILLINOIS SC
NPI 1033231675
Specialist in Mchenry, IL

Q: What is Kanu Panchal Mdsc's NPI number?

The NPI number for Kanu Panchal Mdsc is 1033231675. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is also known as Neuro Spine Center Of Northern Illinois Sc.

Q: What is Kanu Panchal Mdsc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Kanu Panchal Mdsc was last updated on January 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 04, 2007

4309 W MEDICAL CENTER DR, SUITE B301, MCHENRY, IL 60050(815) 344-0175(815) 344-0145 Get Directions Write a Review

NPPES record last updated: January 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Neuro Spine Center Of Northern Illinois Sc NPPES

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

NEURO SPINE CENTER OF NORTHERN ILLINOIS SC (NPI 1033231675) is a healthcare organization registered as a specialist in Mchenry, Illinois and active in the NPI registry since April 2007. The organization lists Kanu Panchal, Owner, as its authorized official.

NPPES Registry Identity

NPI1033231675

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameKANU PANCHAL MDSC

Location Address4309 W MEDICAL CENTER DR, SUITE B301Mchenry, IL 60050-8419

Mailing Address4309 W Medical Center Dr, Suite B301Mchenry, IL 60050-8419 · (815) 344-0175 · Fax (815) 344-0145

Phone(815) 344-0175

Fax(815) 344-0145

Organization SubpartNo

Authorized OfficialKanu PanchalOwner · (815) 344-0175

Enumeration DateApril 4, 2007

Last NPPES UpdateJanuary 3, 2012

✔ NPI 1033231675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IL · 036056972

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4309 W MEDICAL CENTER DR, Mchenry, IL 60050

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Other Names 1

Other NameNeuro Spine Center Of Northern Illinois Sc

Other Identifiers 3

Other21609919IL · Blue Cross Blue Shield

Medicare ID-Type Unspecified684392IL

Medicare UPINC43122IL

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 20

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

DR. JAMES MOWERY M.D.

Internal Medicine

4309 W MEDICAL CENTER DR, SUITE B202
MCHENRY, IL 60050

McHenry County (815) 344-3900

SUSAN WILDE CNP

Nurse Practitioner (Pediatrics)

4309 W MEDICAL CENTER DR, B310
MCHENRY, IL 60050

McHenry County (815) 344-0900

DR. MICHAEL EDWARD REEDY M.D.

Anesthesiology