Given, Gregory

Given, Gregory is an individual health care provider with primary practice located at 407 E Terra Cotta Ave Ste E , Crystal Lake IL 60014-3602. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports is his primary health care specialty. Given, Gregory can be contacted via phone (815) 477-8004.

Contact Information

Primary practice address
407 E Terra Cotta Ave Ste E Crystal Lake IL 60014-3602
Phone: (815) 477-8004
Fax: (815) 477-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 070.008697 Illinois

Profile Details

NPI number 1720166655
LBN Legal business name Given, Gregory
Credentials PT, MHS, SCS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 11th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720166655 NPPES
Illinois Other 096000712 LICENSE#
Illinois Other K46919 LICENSE#

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