Organization
CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY VAUGHN GABBERT D.C. (OWNER)
(815) 455-1751
Entity
Organization
Contact information
Practice address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
(815) 455-9450
Mailing address
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3552
(815) 455-1751
(815) 455-9450
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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