Organization
CARING FAMILY S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD S GIESE M.D. (PRESIDENT)
(815) 459-2200
Entity
Organization
Contact information
Practice address
781 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7444
(815) 459-2200
(815) 788-9263
Mailing address
781 MCHENRY AVE, CRYSTAL LAKE, IL 60014-7444
(815) 459-2200
(815) 788-9263
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600288
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/24/2007
Last updated
01/22/2008
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