CRYSTAL LAKE FAMILY TREATMENT CENTER LTD

CRYSTAL LAKE, IL
NPI1851353361
Entity TypeOrganization
Authorized ContactJOHN S BALOCKI
President
815-455-0310
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036073896)
Enumeration Date2006-04-03
Last Update Date2010-11-12
Business Address
CRYSTAL LAKE FAMILY TREATMENT CENTER LTD
185 HERITAGE DRIVE SUITE 3
CRYSTAL LAKE, IL 60014
Phone number: 815-455-0310
Mailing Address
CRYSTAL LAKE FAMILY TREATMENT CENTER LTD
185 HERITAGE DRIVE SUITE 3
CRYSTAL LAKE, IL 60014
Phone number: 815-455-0310
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