Superior Health and Wellness of Crystal Lake, LTD.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SUPERIOR HEALTH AND WELLNESS OF CRYSTAL LAKE, LTD.

Practice address

6119 Northwest Hwy Ste B
Crystal Lake, IL 60014-7911

Phone

(815) 477-8844

Fax

(815) 308-3387

NPI assigned

Dec 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jill E Howe, DC

Title

President

Phone

(815) 477-8844

Specialties & licenses 4

Addresses

Locations

Practitioners 6

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

• Stephanie H Goede, PA-C

  • Surgical Physician Assistant
  • Crystal Lake, IL
  • NPI 1548519986
  NPD
• John William Eickert, D.C

  • Chiropractor
  • Hoffman Estates, IL
  • NPI 1699093070
  NPD (past)
• Marta K Haight, PA-C

  • Physician Assistant
  • Rockford, IL
  • NPI 1659677557
  NPD (past)
• Victoria Lynn Rake, D.C.

  • Chiropractor
  • Crystal Lake, IL
  • NPI 1487961355
  NPD (past)
• Ralph Andrew Seymoure, PA-C

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1265718993

  Physician Assistant

  NPD (past)
• Samuel Howard Wurster, MD

  • Plastic Surgery Physician
  • Chicago, IL
  • NPI 1942399761
  NPD (past)

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1811266554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119-B NORTHWEST HIGHWAY",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60014",
            "telephone_number": "815-477-8844",
            "fax_number": "815-308-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6119 NORTHWEST HWY STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147911",
            "telephone_number": "815-477-8844",
            "fax_number": "815-308-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEALTH AND WELLNESS OF CRYSTAL LAKE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-477-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sullivan
• Rebecca Sullivan, NP
• Timothy P Sullivan, D.D.S.
• Ann Marie Sumpter, L.C.S.W.
• Xuefan Sun, PHARMD
• Sean Mark Labastida Superticioso, PT
• Nicolette Surico, LCPC
• Richard Joseph Surowiak, O.D.
• Susan J. Coe, PHD., P.C.
• Hunter Sussky

• Physical Medicine & Rehabilitation Physician in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.