Houtakker, Jeremy A

Houtakker, Jeremy A is an individual health care provider with primary practice located at 750 E Terra Cotta Ave Suite C, Crystal Lake IL 60014-3621. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Houtakker, Jeremy A can be contacted via phone (815) 455-0800.

Contact Information

Primary practice address
750 E Terra Cotta Ave Suite C Crystal Lake IL 60014-3621
Phone: (815) 455-0800
Fax: (815) 455-2895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Illinois

Profile Details

NPI number 1902092109
LBN Legal business name Houtakker, Jeremy A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 2007 - about 17 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.

Request for update

Popular Providers