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General NPI Number Information
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NPI Number | 1063871390
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Entity Type | Organization
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Legal Business Name | PRACTICE MANAGEMENT SOLUTIONS LLC
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 6119 NORTHWEST HWY SUITE B
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-7911
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Country | US
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Telephone | 815-477-8844
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Fax | 815-308-3387
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Provider Business Mailing Address
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Address Line | 6119 NORTHWEST HWY SUITE B
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-7911
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Country | US
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Telephone | 815-477-8844
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Fax | 815-308-3387
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Authorized Official
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Title or Position | OWNER
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Name | JILL ELIZABETH HOWE
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Credential | DC
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Telephone | 815-477-8844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 038.008097
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 038.006954
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 038.009872
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 085.004468
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License Number State | IL
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