FRED J. HALLORAN, MD, SC
NPI 1295906774
Clinic/Center - Primary Care in Huntley, IL

Active since March 12, 2008
11904 OAK CREEK PKWY, HUNTLEY, IL 60142(847) 506-1478(224) 858-4001 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fred J. Halloran, Md, Sc NPPES

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

FRED J. HALLORAN, MD, SC (NPI 1295906774) is a healthcare organization registered as a primary care in Huntley, Illinois and active in the NPI registry since March 2008. The organization lists Fred J. Halloran, Owner, as its authorized official.

NPPES Registry Identity

NPI1295906774
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFRED J. HALLORAN, MD, SC
Location Address11904 OAK CREEK PKWYHuntley, IL 60142-6728
Mailing Address11904 Oak Creek PkwyHuntley, IL 60142-6728 · (847) 506-1478 · Fax (224) 858-4001
Fax(224) 858-4001
Organization SubpartNo
Authorized OfficialFred J. HalloranOwner · (847) 506-1478
Enumeration DateMarch 12, 2008
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1295906774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in IL · 036081972
11904 OAK CREEK PKWY, Huntley, IL 60142

Other Identifiers 1

Medicaid036081972IL

Other Providers at the Same Location NPPES

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

Internal Medicine
11904 OAK CREEK PKWY
HUNTLEY, IL 60142

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 Fred J. Halloran, MD, Sc's NPI number?

The NPI number for Fred J. Halloran, MD, Sc is 1295906774. It was assigned to this organization in the NPPES registry on March 12, 2008.

Where is Fred J. Halloran, MD, Sc located?

Fred J. Halloran, MD, Sc is located at 11904 Oak Creek Pkwy, Huntley, IL 60142. The listed phone number is (847) 506-1478.

What is Fred J. Halloran, MD, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fred J. Halloran, MD, Sc was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.