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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