Organization Active NPI

First Choice Family Health

  • Chiropractor
  • Crystal Lake, IL
National Provider Identifier
1003052085
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-009734 Issued in IL
Legal business name
FIRST CHOICE FAMILY HEALTH
Practice address
35 Berkshire Dr Ste 12
Crystal Lake, IL 60014-7700
Phone
(815) 477-7804
Fax
(815) 477-7805
NPI assigned
Dec 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert H Priebe, DCNPI 1134342959
Title
President
Phone
(815) 477-7804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038-009734 IL Primary

Addresses

Primary practice location

35 Berkshire Dr Ste 12
Crystal Lake, IL 60014-7700

Mailing address

35 Berkshire Dr Ste 12
Crystal Lake, IL 60014-7700
Phone (815) 477-7804

National Provider Directory

National Provider Directory

Locations

35 Berkshire Dr
Ste 12
Crystal Lake, IL 60014
Phone (815) 477-7804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1003052085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BERKSHIRE DR STE 12",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147700",
            "telephone_number": "815-477-7804",
            "fax_number": "815-477-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BERKSHIRE DR STE 12",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147700",
            "telephone_number": "815-477-7804",
            "fax_number": "815-477-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "PRIEBE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-477-7804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.