MR. JEREMY A HOUTAKKER


Address: 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621
Phone: 8154550800

MR. JEREMY A HOUTAKKER (NPI# 1902092109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902092109
Entity Type Individual
Full Name MR. JEREMY A HOUTAKKER
Credential P.A.
Practice Address 750 E Terra Cotta Ave
Suite C
Crystal Lake
IL 60014-3621
Practice Telephone 8154550800
Practice Fax Number 8154552895
Mailing Telephone 8154550800
Mailing Fax Number 8154552895
Enumeration Date 2007-09-20
Last Update Date 2007-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 750 E TERRA COTTA AVE
SUITE C
City CRYSTAL LAKE
State IL
Zip Code 60014-3621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710984638 Virginia B Hemelt Psychiatry & Neurology 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 2005-07-07
1700239639 Rockford Orthopedic Associates, Ltd. Durable Medical Equipment & Medical Supplies 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 2016-07-15
1225406499 Eric Torres Physician Assistant 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 2015-09-04
1679963821 Kelly A Muscavitch Physician Assistant 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 2015-01-27
1306235882 Rebecca E Cheski Specialist/Technologist 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 2015-01-21
1205024668 Kara C. Joyner Physician Assistant 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 2007-10-11
1508983784 Mercy Health System Corporation Durable Medical Equipment & Medical Supplies 750 E Terra Cotta Ave, Ste B, Crystal Lake, IL 60014-3621 2007-03-23
1679628374 Michelle Lee Sanfilippo Physician Assistant 750 E Terra Cotta Ave, Centegra Neurology, Crystal Lake, IL 60014 2007-01-24
1346394236 Kevin Franklin Barnes Specialist/Technologist 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 2007-01-22
1710034400 Crystal Lake Orthopaedic Surgery & Sports Medicine, Ltd Specialist 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 2007-01-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497394720 Lorelei Mariano Physical Therapist 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 2020-01-03
1396227070 Behavioral Services for Autism, Inc Behavioral Analyst 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 2018-08-30
1831635564 Isis Mendoza-garnica Counselor 6803 Rose Ave, Crystal Lake, IL 60014 2017-01-19
1134664402 Derick Dermatology, LLC Non-Pharmacy Dispensing Site 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 2016-12-22
1306394051 Highland Park Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 177 W Virginia Street, Crystal Lake, IL 60014 2016-09-12
1124492830 Align Spine & Orthopaedics Durable Medical Equipment & Medical Supplies 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 2015-11-18
1558747428 Shabana Nawaz Optometrist 4777 Northwest Highway, Crystal Lake, IL 60014 2015-08-03
1548649205 Daniel Okon Social Worker 304 Charllote Ave, Crystal Lake, IL 60014 2015-05-27
1154729838 Crystal Lake Center for Chronic Pain Sc Nurse Practitioner 1 South Northwest Highway, Crystal Lake, IL 60014 2014-12-12
1558763581 Brooke Nicole Grandt Occupational Therapist 394 Heisler Ct, Crystal Lake, IL 60014 2014-09-22
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639651060 Scott M. Detloff Physician Assistant 415 E Congress Pkwy Ste A, Crystal Lake, IL 60014-6248 2018-09-01
1497295125 Alexander J Hembrey Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2017-02-28
1316486459 Nicole M Trittschuh Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2017-02-22
1942747480 Christopher L Ballinger Physician Assistant 420 N. Il Route 31, Crystal Lake, IL 60012 2017-01-23
1548519986 Stephanie H Goede Physician Assistant 420 N Il Route 31, Crystal Lake, IL 60012 2012-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1154944478 Diana Goldak Physician Assistant 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 2020-05-20
1033742580 Colleen Courtney Physician Assistant 218 S Driftwood Trl, Mchenry, IL 60050-5454 2020-02-12
1326678962 Nina Kodros Physician Assistant 301 Madison St Ste 280, Joliet, IL 60435-6672 2020-01-23
1689218190 Jennifer Richman Physician Assistant 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 2019-10-29
1710547625 Nadia Khan Physician Assistant 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 2019-06-13
1962065516 Jorge Mantilla Physician Assistant 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 2019-04-18
1013479955 Leah Rae Prager Physician Assistant 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 2019-04-01
1770041949 Laura Ann Ryan Physician Assistant 840 S Wood St Ste 417, Chicago, IL 60612-4325 2019-03-06
1548739782 Helen Finke Physician Assistant 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 2018-11-16
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Competitor

Search similar providers

City CRYSTAL LAKE
Zip Code 60014

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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