CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC (NPI# 1912088683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912088683 |
Entity Type | Organization |
Organization Name | CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC |
Practice Address |
330 W Terra Cotta Ave Crystal Lake IL 60014-3552 |
Practice Telephone | 8154551751 |
Practice Fax Number | 8154559450 |
Mailing Telephone | 8154551751 |
Mailing Fax Number | 8154559450 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. RODNEY VAUGHN GABBERT (OWNER) |
Authorized Official Telephone | 8154551751 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
IL | Chiropractic Providers |
Street Address |
330 W TERRA COTTA AVE |
City | CRYSTAL LAKE |
State | IL |
Zip Code | 60014-3552 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447263561 | Rodney V. Gabbert | Chiropractor | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2006-08-14 |
1093194391 | Laura E Leukaufe | Massage Therapist | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2015-05-20 |
1073992426 | Amberly R Cencula | Massage Therapist | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2015-05-19 |
1750551362 | Mercy Health System Corporation | Durable Medical Equipment & Medical Supplies | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2008-03-11 |
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 | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164599775 | Koren Jean Duhr | Chiropractor | 185 Heritage Dr Ste 3, Crystal Lake, IL 60014-8059 | 2006-11-29 |
1447263561 | Rodney V. Gabbert | Chiropractor | 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114535531 | Dr. Carrie Skony, LLC | Chiropractor | 3080 Ogden Ave Ste 202, Lisle, IL 60532-1694 | 2020-07-22 |
1144684564 | Bradley Brunner | Chiropractor | 214 Rousch St, Lena, IL 61048-8822 | 2016-04-12 |
1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
1154689933 | Scott Family Chiropractic Clinic PC | Chiropractor | 4180 Rfd Ste 83, Suite 100, Long Grove, IL 60047-9580 | 2012-04-30 |
1891071114 | Nowicki Chiropractic Corporation | Chiropractor | 1841 Hicks Rd, Suite C, Rolling Meadows, IL 60008-1250 | 2011-11-01 |
1659652196 | Lauren Natalie Wills | Chiropractor | 1710 E 1st St, Sterling, IL 61081-2902 | 2011-08-29 |
1598055808 | Cherniak Family Chiropractic, PC | Chiropractor | 203 W Prairie St, Marengo, IL 60152-2136 | 2011-04-08 |
1356572564 | Josh Hover | Chiropractor | 8424 Skokie Blvd, Ste. 207, Skokie, IL 60077-2568 | 2009-08-05 |
1063685246 | Thomas Burton Sperry | Chiropractor | 2585 Ogden Ave, Downers Grove, IL 60515-1708 | 2008-04-08 |
Find all providers with the same taxonomy |
City | CRYSTAL LAKE |
Zip Code | 60014 |
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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.