GREGORY GIVEN (NPI# 1720166655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720166655 |
| Entity Type | Individual |
| Full Name | GREGORY GIVEN |
| Credential | PT, MHS, SCS, ATC |
| Practice Address |
407 E Terra Cotta Ave Ste E Crystal Lake IL 60014-3602 |
| Practice Telephone | 8154778004 |
| Practice Fax Number | 8154778005 |
| Mailing Telephone | 8154778004 |
| Mailing Fax Number | 8154778005 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
070.008697 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE# | 096000712 | 01 |
| IL | PTAN | K46919 | 01 |
| Street Address |
407 E TERRA COTTA AVE STE E |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3602 |
| 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 | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336760529 | Max Whiting | Physical Therapist | 711 W Maxwell St, Chicago, IL 60607-5016 | 2020-04-29 |
| 1043830540 | Natalie Johanna Farah | Physical Therapist | 123 W Madison St Ste 200, Chicago, IL 60602-4632 | 2020-04-24 |
| 1316185168 | Brian Cunningham | Physical Therapist | 417 Glenview Rd, Glenview, IL 60025-3262 | 2009-02-02 |
| 1700046315 | Michelle Marie Bettuzzi | Physical Therapist | 1021 Vine Ave, Park Ridge, IL 60068-4855 | 2008-06-17 |
| 1275706368 | Physically Phit | Physical Therapist | 2320 N Damen Ave Ste 1r, Chicago, IL 60647-3359 | 2008-04-09 |
| 1184830812 | Jeremy Smith | Physical Therapist | 1920 Football Dr, Lake Forest, IL 60045-4829 | 2007-05-16 |
| 1386868701 | Eryn Kubinski | Physical Therapist | 115 Republic Ave, Joliet, IL 60435-6570 | 2007-04-13 |
| 1912989252 | Richard Wager | Physical Therapist | 2346 Mascoutah Ave, Belleville, IL 62220-3499 | 2005-11-14 |
| 1215545249 | Lauren Wiske | Physical Therapist | 6524 W Archer Ave, Chicago, IL 60638-2400 | 2020-07-15 |
| 1811533953 | United Methodist Homes and Services | Physical Therapist | 439 Bohland Ave, Bellwood, IL 60104 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on GREGORY GIVEN.
| 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.