Crystal Lake Family Treatment Center Ltd
Crystal Lake Family Treatment Center Ltd provides Family Medicine Physician services in Crystal Lake, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
185 Heritage Dr Ste 3Crystal Lake, IL 60014 Not confirmed with CMS for 15 years — call before visiting
Phone: (815) 455-0310
Fax: (815) 455-1210
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036073896 (IL) |
|---|
Record details
| NPI number | 1851353361 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Balocki — President · (815) 455-0310 |
| NPI enumerated | April 3, 2006 |
| Last updated in NPPES | November 12, 2010 |
| Mailing address | 185 Heritage Drive, Suite 3, Crystal Lake, IL 60014 |
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