Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC
Active OrganizationCRYSTAL LAKE MEDICAL AND SPORTS REHAB SC is a Sports Physician (Chiropractor) organization located in CRYSTAL LAKE, Illinois. NPI 1912088683 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1912088683
- Provider Type
- Organization
- NPI Issued
- Oct 18, 2006 (19.86515851351 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
330 W TERRA COTTA AVECRYSTAL LAKE, IL, 600143552Browse IL providers · Browse ZIP 60014
- Phone
- 8154551751
- Fax
- 8154559450
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.