DURABLE MEDICAL EQUIPMENT OF CRYSTAL LAKE, INC (NPI# 1356854160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356854160 |
| Entity Type | Organization |
| Organization Name | DURABLE MEDICAL EQUIPMENT OF CRYSTAL LAKE, INC |
| Practice Address |
741 S Mchenry Ave Crystal Lake IL 60014-7445 |
| Practice Telephone | 8154778844 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2017-11-15 |
| Authorized Official Name | JILL E HOWE (OWNER) |
| Authorized Official Telephone | 8154778844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | IL | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770933384 | Durable Medical Equipment of Crystal Lake, Inc | Clinic/Center | 741 S Mchenry Ave Ste G, Crystal Lake, IL 60014-7445 | 2016-06-14 |
| Street Address |
741 S MCHENRY AVE |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589227 | Wellness Institute of Illinois, Ltd | Physical Medicine & Rehabilitation | 741 S Mchenry Ave, Suite G, Crystal Lake, IL 60014-7445 | 2017-03-13 |
| 1538600820 | Catherine Arend | Nurse Practitioner | 741 S Mchenry Ave, Suite G, Crystal Lake, IL 60014-7445 | 2017-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932667516 | Abc Home Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 651 W Terra Cotta Ave Ste 221, Crystal Lake, IL 60014-3401 | 2019-03-04 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1487972881 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 315 N Il Route 31, Crystal Lake, IL 60012-3778 | 2010-05-10 |
| 1245561661 | Diabetic Footwear Solutuions LLC | Durable Medical Equipment & Medical Supplies | 1 Crystal Lake Plz, Suite Aw, Crystal Lake, IL 60014-7966 | 2010-01-25 |
| 1326271354 | Brandon M Mulhall | Durable Medical Equipment & Medical Supplies | 3807 Burton Trl, Crystal Lake, IL 60014-2336 | 2009-08-25 |
| 1558506204 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 415 E Congress Pkwy, Crystal Lake, IL 60014-6248 | 2008-12-10 |
| 1457505752 | Implant Funding Solutions, LLC | Durable Medical Equipment & Medical Supplies | 60 W Terra Cotta Ave Ste B, #260, Crystal Lake, IL 60014-3548 | 2008-11-13 |
| 1508087719 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1305 Randall Road, Crystal Lake, IL 60014 | 2007-05-02 |
| 1649330093 | Medical World Home Health Care and Ostomy Center Inc | Durable Medical Equipment & Medical Supplies | 430 W Virginia Street, Crystal Lake, IL 60014-5936 | 2006-12-08 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DURABLE MEDICAL EQUIPMENT OF CRYSTAL LAKE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.