Healthcare Provider Details

I. General information

NPI: 1225122344
Provider Name (Legal Business Name): MEDCOR OF BARRINGTON, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 PRIME PKWY
MCHENRY IL
60050-7002
US

IV. Provider business mailing address

4805 PRIME PKWY
MCHENRY IL
60050-7002
US

V. Phone/Fax

Practice location:
  • Phone: 815-363-9500
  • Fax: 815-363-3357
Mailing address:
  • Phone: 815-363-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number060-007663
License Number StateIL

VIII. Authorized Official

Name: ALAN GEGENHEIMER
Title or Position: MEDICAL DIRECTOR
Credential: DO
Phone: 815-363-9500