Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY A HOUTAKKER, P.A.
ActiveMR. JEREMY A HOUTAKKER, P.A. is a Surgical Physician Assistant healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1902092109 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1902092109
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2007 (18.880839227495 yrs)
- Last Updated
- Sep 20, 2007
Practice Information
- Address
-
750 E TERRA COTTA AVESUITE CCRYSTAL LAKE, IL, 600143621Browse IL providers · Browse ZIP 60014
- Phone
- 8154550800
- Fax
- 8154552895
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in CRYSTAL LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. STEPHANIE H GOEDE | PA-C | 1548519986 |
| CHRISTOPHER L BALLINGER | PA-C | 1942747480 |
| ALEXANDER J HEMBREY | PA-C | 1497295125 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.