Individual
JEREMY PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
970 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7449
(815) 322-9823
(815) 455-7510
Mailing address
970 S MCHENRY AVE, CRYSTAL LAKE, IL 60014-7449
(815) 322-9823
(815) 455-7510
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180017263
IL
Other
Enumeration date
11/21/2022
Last updated
04/20/2026
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