Organization · Type 2 NPI
Tri County Medical LLC
Ambulatory Surgical Clinic/Center · Mchenry, IL
NPI number
1194182188
Active
Practice location
4310 W Crystal Lake Rd, Suite F
Mchenry, IL 60050-4214
Fax (815) 363-3240
Mailing address
7611 Pershing Blvd
Kenosha, WI 53142-4317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | T059603 (WI) |
Ambulatory Surgical Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1194182188
Tri County Medical LLC's National Provider Identifier is 1194182188, issued on Jan 21, 2016. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Mchenry, IL. The record was last updated on Jan 21, 2016.