| NPI | Name | Type | Address |
|---|---|---|---|
|
MR. P.A. Jeremy A Houtakker |
Individual |
750 E Terra Cotta Ave Suite C Crystal Lake, IL |
|
|
PA-C Christopher L Ballinger |
Individual |
420 N. Il Route 31 Crystal Lake, IL |
|
|
PA-C Ryan Miguel Colon |
Individual |
420 N Il Route 31 Crystal Lake, IL |
|
|
MRS. PA-C Stephanie H Goede |
Individual |
420 N Il Route 31 Crystal Lake, IL |
|
|
PA-C Alexander J Hembrey |
Individual |
420 N Il Route 31 Crystal Lake, IL |
|
|
PA-C Nicole M Trittschuh |
Individual |
420 N Il Route 31 Crystal Lake, IL |
|
|
PA-C Scott M. Detloff |
Individual |
415 E Congress Pkwy Ste A Crystal Lake, IL |
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 363AS0400X |
| Specialization | Surgical |
| Display Name | Surgical Physician Assistant |
| Taxonomy Group | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification | Physician Assistant |
| Definition | Definition to come... |
| Effective Date | September 30, 2009 |