Organization · Type 2 NPI

Crystal Lake Center for Chronic Pain SC

Nurse Practitioner · Crystal Lake, IL

NPI number 1154729838 Active

Practice location

1 South Northwest Highway
Crystal Lake, IL 60014

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154729838

Crystal Lake Center for Chronic Pain SC's National Provider Identifier is 1154729838, issued on Dec 12, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Dec 12, 2014.