CRYSTAL LAKE FAMILY TREATMENT CENTER LTD
NPI 1851353361
Family Medicine in Crystal Lake, IL

Active since April 03, 2006
185 HERITAGE DRIVE, SUITE 3, CRYSTAL LAKE, IL 60014(815) 455-0310(815) 455-1210 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Lake Family Treatment Center Ltd NPPES

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

CRYSTAL LAKE FAMILY TREATMENT CENTER LTD (NPI 1851353361) is a healthcare organization registered as a family medicine in Crystal Lake, Illinois and active in the NPI registry since April 2006. The organization lists John S Balocki, President, as its authorized official.

NPPES Registry Identity

NPI1851353361
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCRYSTAL LAKE FAMILY TREATMENT CENTER LTD
Location Address185 HERITAGE DRIVE, SUITE 3Crystal Lake, IL 60014
Mailing Address185 Heritage Drive, Suite 3Crystal Lake, IL 60014 · (815) 455-0310 · Fax (815) 455-1210
Fax(815) 455-1210
Organization SubpartNo
Authorized OfficialJohn S BalockiPresident · (815) 455-0310
Enumeration DateApril 3, 2006
Last NPPES UpdateNovember 12, 2010
NPI 1851353361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036073896
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.
185 HERITAGE DRIVE, Crystal Lake, IL 60014

Other Identifiers 3

Medicare UPINE19063
Medicare ID-Type Unspecified907940
Medicaid036073896IL

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

Other Providers at the Same Location NPPES 2

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

Psychologist
185 HERITAGE DRIVE
CRYSTAL LAKE, IL 60014
Family Medicine
185 HERITAGE DRIVE, SUITE 3
CRYSTAL LAKE, IL 60014

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 Treatment Center Ltd's NPI number?

The NPI number for Crystal Lake Family Treatment Center Ltd is 1851353361. It was assigned to this organization in the NPPES registry on April 3, 2006.

Where is Crystal Lake Family Treatment Center Ltd located?

Crystal Lake Family Treatment Center Ltd is located at 185 Heritage Drive Suite 3, Crystal Lake, IL 60014. The listed phone number is (815) 455-0310.

What is Crystal Lake Family Treatment Center Ltd's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Lake Family Treatment Center Ltd was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.