CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC


Address: 330 W Terra Cotta Ave, Crystal Lake, IL 60014-3552
Phone: 8154551751

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
IL Chiropractic Providers

Office Location

Street Address 330 W TERRA COTTA AVE
City CRYSTAL LAKE
State IL
Zip Code 60014-3552

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CRYSTAL LAKE
Zip Code 60014

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Dataset Information

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.

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