GARY LEE RESCHAK (NPI# 1811218654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811218654 |
| Entity Type | Individual |
| Full Name | GARY LEE RESCHAK |
| Credential | M.D. |
| Practice Address |
650 Dakota St Ste A Crystal Lake IL 60012-3744 |
| Practice Telephone | 8154556000 |
| Practice Fax Number | 8153561104 |
| Mailing Telephone | 8154556000 |
| Mailing Fax Number | 8153561104 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 036151382 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 40881 | IA | Allopathic & Osteopathic Physicians |
| Street Address |
650 DAKOTA ST STE A |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336112911 | William Arthur Stinson | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-02-13 |
| 1922480342 | Heather Masters | Dietitian, Registered | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2015-06-22 |
| 1255689543 | Laura L Dagdick | Nurse Practitioner | 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | 2012-08-17 |
| 1407110034 | Lindsay Morgan Esch | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2012-06-28 |
| 1174846141 | Joy A Valko | Psychologist | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2010-03-05 |
| 1265677199 | Robert Brizzolara | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012-3744 | 2008-12-05 |
| 1235390154 | Daniela Huerta De Hathaway | Internal Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2008-06-23 |
| 1508035304 | Shruti Bahadur | Family Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2008-02-26 |
| 1881893303 | Boguslaw S Bonczak | Family Medicine | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2007-07-13 |
| 1134201908 | Lisa B Messinger | Pediatrics | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053842443 | Karolina Stack | Pediatrics | 525 E Congress Pkwy Ste 220, Crystal Lake, IL 60014-6258 | 2017-03-27 |
| 1134100688 | Barry A Altshuler | Pediatrics | 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014-3649 | 2005-11-10 |
| 1598765521 | Pediatric Specialist of The Nw Mdsc | Pediatrics | 475 W Terra Cotta Ave, Ste 01, Crystal Lake, IL 60014-3407 | 2005-08-01 |
| 1528675329 | Northwest Autism Diagnostic Center, LLC | Pediatrics | 394 Federal Dr, Crystal Lake, IL 60014-6281 | 2020-09-25 |
| 1700909728 | Everett Lawrence Weiss | Pediatrics | 820 E Terra Cotta Ave, Suite 226, Crystal Lake, IL 60014-3649 | 2007-04-06 |
| 1982762456 | Ranjana Nath | Pediatrics | 350 E Congress Pkwy, Ste E, Crystal Lake, IL 60014-6284 | 2006-12-05 |
| 1316017155 | Douglas A Henning | Pediatrics | 390 E Congress Pkwy, Ste M, Crystal Lake, IL 60039-0619 | 2006-11-09 |
| 1134201908 | Lisa B Messinger | Pediatrics | 650 Dakota St Ste A, Crystal Lake, IL 60012 | 2006-10-20 |
| 1871694661 | Manju Chatterji | Pediatrics | 350 E Congress Pkwy, Ste E, Crystal Lake, IL 60014-6284 | 2006-09-26 |
| 1932112414 | Ubaidur Papa | Pediatrics | 460 Coventry Ln, Suite 206, Crystal Lake, IL 60014-7561 | 2006-08-14 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
Please comment or provide details below to improve the information on GARY LEE RESCHAK.
| 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.