Active NPI
Koren Jean Duhr, D.C.
- Sports Physician Chiropractor
- Crystal Lake, IL
National Provider Identifier
1164599775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 038-009417
- Practice address
- 185 Heritage Dr Ste 3
Crystal Lake, IL 60014-8059 - Phone
- (815) 404-3670
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 038-009417 | IL | Primary |
Addresses
Primary practice location
185 Heritage Dr Ste 3
Crystal Lake, IL 60014-8059
Mailing address
2783 Sorrel Row
Lake in the Hills, IL 60156-6703
Phone (815) 404-3670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05632158 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-009417 | IL | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164599775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2783 SORREL ROW",
"city": "LAKE IN THE HILLS",
"state": "IL",
"postal_code": "601566703",
"telephone_number": "815-404-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 HERITAGE DR STE 3",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600148059",
"telephone_number": "815-404-3670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUHR",
"first_name": "KOREN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IL",
"license": "038-009417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05632158",
"state": "IL"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.