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CRYSTAL LAKE FAMILY WELLNESS
NPI 1710304787
Chiropractor in Crystal Lake, IL

Active since March 27, 2014
4777 NORTHWEST HWY, UNIT C, CRYSTAL LAKE, IL 60014(815) 788-7504(815) 788-7508 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Crystal Lake Family Wellness NPPES

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

CRYSTAL LAKE FAMILY WELLNESS (NPI 1710304787) is a healthcare organization registered as a chiropractor in Crystal Lake, Illinois and active in the NPI registry since March 2014. The organization lists Joshua Christopher Young, Director, as its authorized official.

NPPES Registry Identity

NPI1710304787
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCRYSTAL LAKE FAMILY WELLNESS
Location Address4777 NORTHWEST HWY, UNIT CCrystal Lake, IL 60014-7340
Mailing Address4777 Northwest Hwy, Unit CCrystal Lake, IL 60014-7340 · (815) 788-7504 · Fax (815) 788-7508
Phone(815) 788-7504
Fax(815) 788-7508
Organization SubpartNo
Authorized OfficialJoshua Christopher YoungDirector · (484) 354-4289
Enumeration DateMarch 27, 2014
✔ NPI 1710304787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038012416
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4777 NORTHWEST HWY, Crystal Lake, IL 60014
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crystal Lake Family Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crystal Lake Family Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joshua Young, D.C.
Chiropractic
NPI 1861814147
235 HAWTHORNE DR
Twin Lakes, WI 53181
(484) 354-4289
✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Crystal Lake Family Wellness's NPI number?

The NPI number for Crystal Lake Family Wellness is 1710304787. It was assigned to this organization in the NPPES registry on March 27, 2014.

Where is Crystal Lake Family Wellness located?

Crystal Lake Family Wellness is located at 4777 Northwest Hwy Unit C, Crystal Lake, IL 60014. The listed phone number is (815) 788-7504.

What is Crystal Lake Family Wellness's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Crystal Lake Family Wellness enrolled in Medicare?

Yes. Crystal Lake Family Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crystal Lake Family Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Crystal Lake Family Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Crystal Lake Family Wellness was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.