Crystal Lake Clinic

LBN: Children'S Physician Group
Crystal Lake Clinic is an health care organization with primary practice located at 360 Station Dr , Crystal Lake IL 60014-7978. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Children'S Physician Group can be contacted via phone (815) 338-6600, or through Khare, Smriti via phone (414) 266-7615.

Contact Information

Primary practice address
360 Station Dr Crystal Lake IL 60014-7978
Phone: (815) 338-6600
Fax: (815) 477-9826
Website:
Map and Directions
Authorized official contact:
Name: Khare, Smriti Doctor of Medicine (MD)
Phone: (414) 266-7615

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1124362306
LBN Legal business name Children'S Physician Group
DBA Doing business as Crystal Lake Clinic
Authorized official Khare, Smriti Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 12th, 2012
Last updated Nov 12th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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