MERCY CRYSTAL LAKE EAST MEDICAL CENTER
NPI 1366568032
Durable Medical Equipment & Medical Supplies in Crystal Lake, IL
NPI Status: Active since March 22, 2007
Contact Information
390 E CONGRESS PKWY
STE M
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 444-0850
- Organization
- Durable Medical Equipment & Medical Supp...
About MERCY CRYSTAL LAKE EAST MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Mercy Crystal Lake East Medical Center, a provider established in Crystal Lake, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1366568032 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 310800 (WI). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Mercy Crystal Lake East Medical Center. The authorized official of this NPI record is John W Cook (Vp Cfo)
- NPI
- 1366568032
- Provider Legal Name
- MERCY HEATLH SYSTEM CORPORATION
- Other Organization Name
- MERCY CRYSTAL LAKE EAST MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 390 E CONGRESS PKWY STE M CRYSTAL LAKE, IL 60014
- Location Phone
- (815) 444-0850
- Mailing Address
- 1000 MINERAL POINT AVE JANESVILLE, WI 53548
- Mailing Phone
- (608) 756-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-22-2007
- Last Update Date
- 10-07-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- License No.
- 310800
- License State
- WI
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0903300026 | MEDICARE NSC (07) | ||
| 14D1004883 | OTHER (01) | CLIA | |
| =========022 | MEDICAID (05) | IL | |
| 214660 | MEDICARE OSCAR/CERTIFICATION (06) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 5 | 6 | 8 | 0 | 3 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 10 | 6 | 16 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 0 + 6 + 1 + 6 + 0 + 6 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1366568032 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JEANA ALTMAN LCPC
Counselor
(Professional)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
MRS. ELLEN FAYE ERLICHMAN LCSW
Social Worker
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
NANETTE LASCO MSW, LCSW
Social Worker
(Clinical)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
JANICE SPANGLER PSYD
Psychologist
(Clinical)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
DAVID WELCH LCPC
Counselor
(Professional)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
DR. DAVID A GOODMAN MD PHD
Otolaryngology
390 E CONGRESS PKWY
UNIT M
CRYSTAL LAKE, IL
ZIP 60014
SOO MI LEE - SAMUEL MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
REBECCA LYNN HAHNFELD LCPC
Counselor
(Professional)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
DR. KATHRYN SCHOENBROD M.D.
Psychiatry & Neurology
(Psychiatry)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
SOVEREIGN REHABILITATION OF ILLINOIS, LLC
Clinic/Center
(Physical Therapy)
390 E CONGRESS PKWY
CRYSTAL LAKE, IL
ZIP 60014
CRONIN MEDICAL GROUP, LTD.
Clinic/Center
(Primary Care)
390 E CONGRESS PKWY
SUITE H
CRYSTAL LAKE, IL
ZIP 60014
MRS. AMY MARIE FINNERTY MS CCC-SLP-L
Speech-Language Pathologist
390 E CONGRESS PKWY
UNIT A
CRYSTAL LAKE, IL
ZIP 60014
MRS. PAULA FRANCES FICK OTR/L
Occupational Therapist
390 E CONGRESS PKWY
SUITE A
CRYSTAL LAKE, IL
ZIP 60014
KATHERINE ANN GODFREY MD
Psychiatry & Neurology
(Child & Adolescent Psychiatry)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
MRS. CARISSA LYNN THIELE MS, CCC-SLP
Speech-Language Pathologist
390 E CONGRESS PKWY
SUITE A
CRYSTAL LAKE, IL
ZIP 60014
STEVE J KIM MA, LCPC
Counselor
(Professional)
390 E CONGRESS PKWY
SUITE J
CRYSTAL LAKE, IL
ZIP 60014
MRS. COLLEEN ANN RODGERS COTA
Occupational Therapy Assistant
390 E CONGRESS PKWY
CRYSTAL LAKE, IL
ZIP 60014
DR. MICHAEL JOSEPH LOUISE D.C.
Chiropractor
390 E CONGRESS PKWY
SUITE F
CRYSTAL LAKE, IL
ZIP 60014
MRS. NICOLE A GLINSKI B.S, COTA/L
Occupational Therapy Assistant
390 E CONGRESS PKWY
CRYSTAL LAKE, IL
ZIP 60014
JOANNA HUTSON NP-C
Nurse Practitioner
390 E CONGRESS PKWY
SUITE C
CRYSTAL LAKE, IL
ZIP 60014
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366568032, enumerated as an "organization" on March 22, 2007.
The provider is located at 390 E CONGRESS PKWY STE M CRYSTAL LAKE, IL 60014 and the phone number is (815) 444-0850.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
