Healthcare Provider Details

I. General information

NPI: 1992755565
Provider Name (Legal Business Name): M & G HEALTH ASSOCIATES, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MCDONOUGH RD SUITE 100
HOFFMAN ESTATES IL
60192-4566
US

IV. Provider business mailing address

1800 MCDONOUGH RD SUITE 100
HOFFMAN ESTATES IL
60192-4566
US

V. Phone/Fax

Practice location:
  • Phone: 847-839-1111
  • Fax: 847-781-0273
Mailing address:
  • Phone: 847-839-1111
  • Fax: 847-781-0273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: JOHN T GIRARDI
Title or Position: CEO & PRESIDENT
Credential: M.D.
Phone: 847-839-1111