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Contact Information

CRYSTAL LAKE CENTER FOR CHRONIC PAIN SC
1 SOUTH NORTHWEST HIGHWAY
CRYSTAL LAKE, IL60014
 Phone: 815-356-9371
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CRYSTAL LAKE CENTER FOR CHRONIC PAIN SC

NPI # 1154729838
LBN Legal business name CRYSTAL LAKE CENTER FOR CHRONIC PAIN SC
Authorized official GREG KUHLMN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2014
Last updated 12/12/2014 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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