Organization Active NPI

Richard E. Lind, MD SC

  • Specialist
  • Crystal Lake, IL
National Provider Identifier
1376759605
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042.005720 Issued in IL
Legal business name
RICHARD E. LIND, MD SC
Practice address
690 E Terra Cotta Ave
Siute a
Crystal Lake, IL 60014-3605
Phone
(815) 455-2752
Fax
(815) 455-2789
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Richard Ellis Lind, M.D.
Title
President
Phone
(815) 455-2752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 042.005720 IL Primary

Addresses

Primary practice location

690 E Terra Cotta Ave
Siute a
Crystal Lake, IL 60014-3605

Mailing address

690 E Terra Cotta Ave
Siute a
Crystal Lake, IL 60014-3605
Phone (815) 455-2752

Other names 1

  • Surgical Associates of Fox Valley Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1376759605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 E TERRA COTTA AVE",
            "address_2": "SIUTE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143605",
            "telephone_number": "815-455-2752",
            "fax_number": "815-455-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 E TERRA COTTA AVE",
            "address_2": "SIUTE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143605",
            "telephone_number": "815-455-2752",
            "fax_number": "815-455-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E. LIND, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ELLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-455-2752",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "042.005720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Associates of Fox Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 7, 2010; 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.