Gregory Given is a Sports in Crystal Lake, Illinois. Gregory Given practices all healthcare services and medical treatments related to Sports. The NPI Number for Gregory Given is 1720166655. The last update date is 2020-03-11.
Gregory Given's current location address is 407 E Terra Cotta Ave Ste E, Crystal Lake, Illinois. You can contact this provider via phone number 8154778004 and fax number 8154778005. The mailing address for Gregory Given is 407 E Terra Cotta Ave Ste E, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Given |
|---|---|
| Address | 407 E Terra Cotta Ave Ste E, Crystal Lake, Illinois |
| Phone Number | 8154778004 |
| Fax Number | 8154778005 |
| Sole Proprietor | N |
| Credentials | PT, MHS, S |
NPI Number Detail
| NPI Number | 1720166655 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-03-11 |
Provider Mailing Address Detail
| Address | 407 E Terra Cotta Ave Ste E |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600143602 |
| Phone Number | 8154778004 |
| Fax Number | 8154778005 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 70.008697 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 96000712 | IL | LICENSE# | |
| K46919 | IL | PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Gregory Given by the Centers for Medicare & Medicaid Services?
The Gregory Given has been issued the NPI (National Provider Identifier) 1720166655. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gregory Given?
The Gregory Given is situated at 407 E Terra Cotta Ave Ste E, in the city of Crystal Lake, state of IL, with the zip code 600143602.
What is the area of specialization for Gregory Given, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Given is Sports, and the corresponding taxonomy code that categorizes this area of expertise is 2251S0007X.
On what date did the Gregory Given receive its 1720166655 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Given was assigned its 1720166655 by the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the Gregory Given's information last updated?
The Gregory Given's information was last updated on 2020-03-11.
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