Given, Gregory
Given, Gregory is an individual health care provider with primary practice located at 407 E Terra Cotta Ave Ste E , Crystal Lake IL 60014-3602. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Given, Gregory can be contacted via phone (815) 477-8004.Contact Information
Primary practice address
407 E Terra Cotta Ave Ste E
Crystal Lake IL 60014-3602
Phone: (815) 477-8004
Fax: (815) 477-8005
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 070.008697 | Illinois |
Profile Details
NPI number | 1720166655 |
---|---|
LBN Legal business name | Given, Gregory |
Credentials | PT, MHS, SCS, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2006 |
Last updated | Mar 11th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720166655 | NPPES |
Illinois | Other | 096000712 | LICENSE# |
Illinois | Other | K46919 | LICENSE# |
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