| Crystal Lake Family Treatment Center Ltd | |
|
185 Heritage Drive Suite 3 Crystal Lake IL 60014 | |
| (815) 455-0310 | |
| (815) 455-1210 |
| Full Name | Crystal Lake Family Treatment Center Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 185 Heritage Drive, Crystal Lake, Illinois |
| Authorized Official Name and Position | John S Balocki (PRESIDENT) |
| Authorized Official Contact | 8154550310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Family Treatment Center Ltd 185 Heritage Drive Suite 3 Crystal Lake IL 60014 Ph: (815) 455-0310 | Crystal Lake Family Treatment Center Ltd 185 Heritage Drive Suite 3 Crystal Lake IL 60014 Ph: (815) 455-0310 |
| NPI Number | 1851353361 |
|---|---|
| Provider Enumeration Date | 04/03/2006 |
| Last Update Date | 11/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851353361 | NPI | - | NPPES |
| 036073896 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036073896 (Illinois) | Primary |
Family Medicine For Mchenry County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1095 Pingree Rd, Suite 108, Crystal Lake, IL 60014 Phone: 847-658-2400 Fax: 847-658-7755 | |
Family Health Partnership Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Congress Pkwy, Crystal Lake, IL 60014 Phone: 779-220-9300 | |
Tt Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 741 S Mchenry Ave Ste C&d, Crystal Lake, IL 60014 Phone: 815-770-2780 Fax: 815-770-2780 | |
Uwc- Crystal Lake Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Station Dr Ste 260a, Crystal Lake, IL 60014 Phone: 312-421-1016 Fax: 779-201-4420 | |
Global Med Pro Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 S Mchenry Ave Ste C&d, Crystal Lake, IL 60014 Phone: 815-455-1344 Fax: 630-559-7349 | |
Rejuvenesse Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5911 Northwest Hwy, Suite 101, Crystal Lake, IL 60014 Phone: 815-788-1992 Fax: 815-788-1993 | |
Illinois Partners In Endocrinology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 380 N Terra Cotta Rd Ste A, Crystal Lake, IL 60012 Phone: 815-444-6301 |