1. Home
  2. Directory
  3. Illinois
  4. Crystal Lake
  5. Family Medicine
  6. NPI Profile

FAMILY MEDICINE FOR MCHENRY COUNTY
NPI 1174503510
Family Medicine in Crystal Lake, IL

Active since January 20, 2006CLIA 14D0412042 · Microscopy
1095 PINGREE RD, SUITE 108, CRYSTAL LAKE, IL 60014(847) 658-2400(847) 658-7755 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Family Medicine For Mchenry County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY MEDICINE FOR MCHENRY COUNTY (NPI 1174503510) is a healthcare organization registered as a family medicine in Crystal Lake, Illinois and active in the NPI registry since January 2006. The organization holds a CLIA Microscopy certificate valid through August 17, 2027 and lists Michael Lesser, President, as its authorized official.

NPPES Registry Identity

NPI1174503510
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE FOR MCHENRY COUNTY
Location Address1095 PINGREE RD, SUITE 108Crystal Lake, IL 60014-1725
Mailing AddressPo Box 1588Crystal Lake, IL 60039-1588 · (847) 658-2400 · Fax (847) 658-7755
Phone(847) 658-2400
Fax(847) 658-7755
Organization SubpartNo
Authorized OfficialMichael LesserPresident · (847) 658-2400
Enumeration DateJanuary 20, 2006
Last NPPES UpdateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1174503510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1095 PINGREE RD, Crystal Lake, IL 60014
Open in Google Maps ↗

Other Identifiers 1

Other5615119IL · Bcbs Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0412042

Family Medicine For Mchenry County · Crystal Lake, IL
Active · expires Aug 17, 2027
CLIA Number14D0412042
Laboratory TypePhysician Office
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorS Michael Lesser
Laboratory Phone(815) 459-6655
Laboratory LocationFamily Medicine For Mchenry County1095 Pingree Rd, Ste 108, Crystal Lake, IL 60014
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY A BENTON A.P.N.
Nurse Practitioner (Family)
1095 PINGREE RD, SUITE 108
CRYSTAL LAKE, IL 60014
McHenry County (847) 658-2400
MRS. STEPHANIE LYN SCHOOF M.S. CCC-SLP/L
Speech-Language Pathologist
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890
MARGARET LOUISE MCPHERSON PT
Physical Therapist (Pediatrics)
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890
MRS. ELIZABETH RENEE TABACSKO MOT, OTR/L
Occupational Therapist (Pediatrics)
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890
MELISSA SUSAN NIELSEN
Physical Therapist (Pediatrics)
1095 PINGREE RD, SUITE119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890
MRS. JOAN KAY CLARK
Specialist/Technologist (Speech-Language Assistant)
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890
MRS. ELIZABETH ANN NEENAN M.A. SLP CFY/L
Speech-Language Pathologist
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890
KATHERINE DELLI PAOLI MS, OTR/L
Occupational Therapist (Pediatrics)
1095 PINGREE RD, SUITE 119
CRYSTAL LAKE, IL 60014
McHenry County (847) 458-8890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Medicine For Mchenry County's NPI number?

The NPI number for Family Medicine For Mchenry County is 1174503510. It was assigned to this organization in the NPPES registry on January 20, 2006.

Where is Family Medicine For Mchenry County located?

Family Medicine For Mchenry County is located at 1095 Pingree Rd Suite 108, Crystal Lake, IL 60014. The listed phone number is (847) 658-2400.

What is Family Medicine For Mchenry County's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Family Medicine For Mchenry County hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0412042) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Medicine For Mchenry County was last updated on May 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.