| Crystal Lake Wellness, Llc | |
|
610 Crystal Point Dr Ste 2 Crystal Lake IL 60014-1400 | |
| (815) 893-9839 | |
| Not Available |
| Full Name | Crystal Lake Wellness, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 610 Crystal Point Dr Ste 2, Crystal Lake, Illinois |
| Authorized Official Name and Position | Despina Mcbride-spencer (OWNER) |
| Authorized Official Contact | 8158939839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Wellness, Llc 610 Crystal Point Dr Ste 2 Crystal Lake IL 60014-1400 Ph: () - | Crystal Lake Wellness, Llc 610 Crystal Point Dr Ste 2 Crystal Lake IL 60014-1400 Ph: (815) 893-9839 |
| NPI Number | 1093102550 |
|---|---|
| Provider Enumeration Date | 04/22/2015 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093102550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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