person
Mr. Jeremy A Houtakker, PA
Surgical Physician Assistant in Crystal Lake, Illinois
NPI 1902092109

Jeremy A Houtakker is a Surgical Physician Assistant based in Crystal Lake, IL and is specialized in Surgical. Jeremy A Houtakker practices in Crystal Lake, IL and has the professional credentials of PA. The NPI Number for Jeremy A Houtakker is 1902092109 and holds a License No. (Illinois).

The current practice location address for Jeremy A Houtakker is 750 E Terra Cotta Ave, Crystal Lake, IL and can be reached out via phone at 815-455-0800 and via fax at 815-455-2895. You can also correspond with Jeremy A Houtakker through the mailing address at 750 E TERRA COTTA AVE, CRYSTAL LAKE, IL - 60014-3621 (mailing address contact number: 815-455-0800).

Location: 750 E Terra Cotta Ave, Crystal Lake, IL, 60014-3621
person
Provider Profile Details
NPI Number
1902092109
Provider Name
Jeremy A Houtakker
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
750 E Terra Cotta Ave, Crystal Lake, IL, 60014-3621
Phone Number
815-455-0800
Fax Number
815-455-2895
Provider Enumeration Date
09/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
750 E Terra Cotta Ave
City
State
Zip
60014-3621
Phone Number
815-455-0800
Fax Number
815-455-2895
person
Provider Business Mailing Address Details
Address
750 E Terra Cotta Ave
City
State
Zip
60014-3621
Phone Number
815-455-0800
Fax Number
815-455-2895
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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