Crystal Lake Medical And Sports Rehab Sc

LBN: Crystal Lake Medical And Sports Rehab Sc
Crystal Lake Medical And Sports Rehab Sc is an health care organization with primary practice located at 330 W Terra Cotta Ave , Crystal Lake IL 60014-3552. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Crystal Lake Medical And Sports Rehab Sc can be contacted via phone (815) 455-1751, or through Gabbert, Rodney Vaughn via phone (815) 455-1751.

Contact Information

Primary practice address
330 W Terra Cotta Ave Crystal Lake IL 60014-3552
Fax: (815) 455-9450
Website:
Authorized official contact:
Name: Gabbert, Rodney Vaughn Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X Illinois

Profile Details

NPI number 1912088683
LBN Legal business name Crystal Lake Medical And Sports Rehab Sc
DBA Doing business as
Authorized official Gabbert, Rodney Vaughn Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2006
Last updated Aug 22nd, 2020 - about 4 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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