| Mr Jeremy A Houtakker, PA | |
|
750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | |
| (815) 455-0800 | |
| (815) 455-2895 |
| Full Name | Mr Jeremy A Houtakker |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 750 E Terra Cotta Ave, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902092109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cora Health Services, Inc. | 1759290992 | 544 |
| Mercy Health System Corporation | 7416860440 | 475 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy A Houtakker, PA 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 Ph: (815) 455-0800 | Mr Jeremy A Houtakker, PA 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 Ph: (815) 455-0800 |
Amanda Marie Diamond, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 360 Station Drive, Suite 201, Crystal Lake, IL 60014 Phone: 815-455-7200 Fax: 815-455-9256 | |
Ms. Robin K Pond, M.M.S., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5911 Northwest Highway, Suite 205, Crystal Lake, IL 60014 Phone: 847-515-2200 Fax: 847-515-2328 | |
Makiko Ogino-mcelligott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 E Congress Pkwy, 100, Crystal Lake, IL 60014 Phone: 815-479-8020 | |
Katelyn St Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012 Phone: 815-356-5200 Fax: 815-356-5262 | |
Devin Chen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 N Il Route 31, Crystal Lake, IL 60012 Phone: 815-356-5200 | |
Payton Gentges, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3880 Niblick Ct, Crystal Lake, IL 60012 Phone: 815-529-3049 | |
Eric Torres, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 750 E Terra Cotta Ave, Crystal Lake, IL 60014 Phone: 815-398-9491 Fax: 815-381-7498 |