Crystal Lake Family Treatment Center Ltd in Crystal Lake - Family Medicine
Crystal Lake Family Treatment Center Ltd - NPI 1851353361
Crystal Lake Family Treatment Center Ltd is a Family Medicine in Crystal Lake, Illinois. Crystal Lake Family Treatment Center Ltd practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Crystal Lake Family Treatment Center Ltd is 1851353361. The last update date is 2010-11-12.
Crystal Lake Family Treatment Center Ltd's current location address is 185 Heritage Drive, Crystal Lake, Illinois. You can contact this provider via phone number 8154550310 and fax number 8154551210. The mailing address for Crystal Lake Family Treatment Center Ltd is 185 Heritage Drive, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Crystal Lake Family Treatment Center Ltd |
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Address | 185 Heritage Drive, Crystal Lake, Illinois |
Phone Number | 8154550310 |
Fax Number | 8154551210 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Balocki S John |
Credentials | DO |
Telephone Number | 8154550310 |
NPI Number Detail
NPI Number | 1851353361 |
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Provider Enumeration Date | 2006-04-03 |
Last Updated Date | 2010-11-12 |
Provider Mailing Address Detail
Address | 185 Heritage Drive |
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City | Crystal Lake |
State | Illinois (IL) |
Post Code | 60014 |
Phone Number | 8154550310 |
Fax Number | 8154551210 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 36073896 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36073896 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Crystal Lake Family Treatment Center Ltd by the Centers for Medicare & Medicaid Services?
The Crystal Lake Family Treatment Center Ltd has been issued the NPI (National Provider Identifier) 1851353361. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Crystal Lake Family Treatment Center Ltd is physically located?
The Crystal Lake Family Treatment Center Ltd is situated at the following address: 185 Heritage Drive, Crystal Lake, IL 60014.
What is Crystal Lake Family Treatment Center Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crystal Lake Family Treatment Center Ltd is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851353361 to Crystal Lake Family Treatment Center Ltd?
The Crystal Lake Family Treatment Center Ltd received its 1851353361 assignment from the Centers for Medicare & Medicaid Services on 2006-04-03.
When was the Crystal Lake Family Treatment Center Ltd's information last updated?
The Crystal Lake Family Treatment Center Ltd's information was last updated on 2010-11-12.