MERCY CRYSTAL LAKE CHIROPRACTIC & REHAB CENTER
NPI 1750551362
Durable Medical Equipment & Medical Supplies in Crystal Lake, IL

NPI Status: Active since March 11, 2008

Contact Information

330 W TERRA COTTA AVE
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 455-1751

Get Directions Write a Review

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Accepts Insurance

About MERCY CRYSTAL LAKE CHIROPRACTIC & REHAB CENTER

This page provides the complete NPI Profile along with additional information for Mercy Crystal Lake Chiropractic & Rehab 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 1750551362 assigned on March 2008. The practitioner's primary taxonomy code is 332B00000X with license number 310-800 (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 Chiropractic & Rehab Center. The authorized official of this NPI record is John W Cook (Vp/cfo)

NPI
1750551362
Provider Legal Name
MERCY HEALTH SYSTEM CORPORATION
Other Organization Name
MERCY CRYSTAL LAKE CHIROPRACTIC & REHAB CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
330 W TERRA COTTA AVE CRYSTAL LAKE, IL 60014
Location Phone
(815) 455-1751
Mailing Address
330 W TERRA COTTA AVE CRYSTAL LAKE, IL 60014
Mailing Phone
(815) 455-1751
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-11-2008
Last Update Date
10-16-2009
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.
310-800
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:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN W COOK

Authorized Official Title
VP/CFO
Authorized Official Phone
(608) 756-6000

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
=========015MEDICAID (05)IL 
214660MEDICARE OSCAR/CERTIFICATION (06)IL 
0903300033MEDICARE NSC (07)IL 

Reviews for MERCY CRYSTAL LAKE CHIROPRACTIC & REHAB CENTER

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1750551362
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001052312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 2 + 3 + 1 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1750551362 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 5 providers are registered at the same or nearby location.

RODNEY V. GABBERT D.C.

Chiropractor

(Sports Physician)

330 W TERRA COTTA AVE
CRYSTAL LAKE, IL
ZIP 60014

(815) 455-1751

AMBERLY R CENCULA LMT

Massage Therapist

330 W TERRA COTTA AVE
CRYSTAL LAKE, IL
ZIP 60014

(815) 455-1751

LAURA E LEUKAUFE LMT

Massage Therapist

330 W TERRA COTTA AVE
CRYSTAL LAKE, IL
ZIP 60014

(815) 455-1751

CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC

Chiropractor

(Sports Physician)

330 W TERRA COTTA AVE
CRYSTAL LAKE, IL
ZIP 60014

(815) 455-1751

DESTINEE DANKEMEYER

Marriage & Family Therapist

330 W TERRA COTTA AVE
CRYSTAL LAKE, IL
ZIP 60014

(815) 382-9691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750551362, enumerated as an "organization" on March 11, 2008.

The provider is located at 330 W TERRA COTTA AVE CRYSTAL LAKE, IL 60014 and the phone number is (815) 455-1751.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.