MERCY CRYSTAL LAKE OB GYN
NPI 1508983784
Durable Medical Equipment & Medical Supplies in Crystal Lake, IL
NPI Status: Active since March 23, 2007
Contact Information
750 E TERRA COTTA AVE
STE B
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 459-1212
- Organization
- Durable Medical Equipment & Medical Supp...
- Accepts Insurance
About MERCY CRYSTAL LAKE OB GYN
This page provides the complete NPI Profile along with additional information for Mercy Crystal Lake Ob Gyn, 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 1508983784 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 310800 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Mercy Crystal Lake Ob Gyn. The authorized official of this NPI record is John W Cook (Vp Cfo)
- NPI
- 1508983784
- Provider Legal Name
- MERCY HEALTH SYSTEM CORPORATION
- Other Organization Name
- MERCY CRYSTAL LAKE OB GYN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 750 E TERRA COTTA AVE STE B CRYSTAL LAKE, IL 60014
- Location Phone
- (815) 459-1212
- Mailing Address
- 1000 MINERAL POINT AVE JANESVILLE, WI 53548
- Mailing Phone
- (608) 756-6000
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-23-2007
- Last Update Date
- 01-06-2009
- 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.
- 310800
- 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.
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 |
|---|---|---|---|
| 14D0411934 | OTHER (01) | CLIA | |
| 214660 | MEDICARE OSCAR/CERTIFICATION (06) | IL |
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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. | |||||||||
| 1 | 5 | 0 | 8 | 9 | 8 | 3 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 0 | 8 | 18 | 8 | 6 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 0 + 8 + 1 + 8 + 8 + 6 + 7 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1508983784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1346394236 | MR. KEVIN FRANKLIN BARNES A.T.C./L. Individual | Specialist/Technologist (Athletic Trainer) | 750 E TERRA COTTA AVE CRYSTAL LAKE, IL 60014 (815) 455-0800 |
| 1902092109 | MR. JEREMY A HOUTAKKER P.A. Individual | Physician Assistant (Surgical) | 750 E TERRA COTTA AVE SUITE C CRYSTAL LAKE, IL 60014 (815) 455-0800 |
| 1306235882 | MRS. REBECCA E CHESKI ATC Individual | Specialist/Technologist (Athletic Trainer) | 750 E TERRA COTTA AVE SUITE C CRYSTAL LAKE, IL 60014 (815) 455-0800 |
| 1679628374 | MRS. MICHELLE LEE SANFILIPPO PA-C Individual | Physician Assistant | 750 E TERRA COTTA AVE CENTEGRA NEUROLOGY CRYSTAL LAKE, IL 60014 (815) 338-6600 |
| 1891376497 | MCENEANEY & LESNIAK ASSOCIATES Organization | Clinic/Center (Primary Care) | 750 E TERRA COTTA AVE CRYSTAL LAKE, IL 60014 (847) 639-5800 |
| 1710984638 | VIRGINIA B HEMELT MD Individual | Psychiatry & Neurology (Neurology) | 750 E TERRA COTTA AVE CRYSTAL LAKE, IL 60014 (815) 455-1800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508983784, enumerated in the NPI registry as an "organization" on March 23, 2007
The provider is located at 750 E Terra Cotta Ave Ste B Crystal Lake, Il 60014 and the phone number is (815) 459-1212
This medical organization specializes in 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 make sure your health plan is currently accepted.
This NPI record was last updated on March 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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