CL-Surgi Center, SC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CL-SURGI CENTER, SC

Practice address

1 S Virginia St
Crystal Lake, IL 60014-5826

Phone

(814) 356-9371

Fax

(815) 356-9428

NPI assigned

Apr 16, 2010

Organization subpart

Yes

Parent organization

INTEGRATED HEALTH SCAs reported in NPPES

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

Authorized official

Name

Dr. Gregory T Kuhlman, DC

Title

Owner

Phone

(815) 356-9371

Specialties & licenses 1

Addresses

Part of

Integrated Health SC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Integrated Health, SC

  • Pain Medicine (Anesthesiology) Physician
  • Rockford, IL
  • NPI 1518028828
  NPPES parent name

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1801112719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145826",
            "telephone_number": "814-356-9371",
            "fax_number": "815-356-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145826",
            "telephone_number": "814-356-9371",
            "fax_number": "815-356-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CL-SURGI CENTER, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED HEALTH SC",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "KUHLMAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-356-9371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Yong Hae Chyu, M.D.
• Julie Ciero, M.S.SLP,CCC-L
• Katelyn P Ciszon, SLP/L
• City of Crystal Lake
• CL Pharmacy LLC
• Claire L Brown LCSW PC
• Joan Kay Clark
• Makayla Marie Clauss, PTA
• Clay Pot Counseling, Inc.
• Clear Psychiatric Services

• Ambulatory Surgical Clinic/Center in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.