Provider Demographics
NPI:1992755565
Name:M & G HEALTH ASSOCIATES, SC
Entity type:Organization
Organization Name:M & G HEALTH ASSOCIATES, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:GIRARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-839-1111
Mailing Address - Street 1:1800 MCDONOUGH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4566
Mailing Address - Country:US
Mailing Address - Phone:847-839-1111
Mailing Address - Fax:847-781-0273
Practice Address - Street 1:1800 MCDONOUGH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4566
Practice Address - Country:US
Practice Address - Phone:847-839-1111
Practice Address - Fax:847-781-0273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical