DR. RICHARD EVERETT MCCOY D. C. NPI 1376536060

NPI Information

NPI: 1376536060
Provider Name: DR. RICHARD EVERETT MCCOY, D. C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
181 N VIRGINIA ST
SUITE 1
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 455-6373
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DR. Richard Everett Mccoy, D. C. is a chiropractor in Crystal Lake, IL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Richard Everett Mccoy, D. C. NPI is 1376536060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

181 N VIRGINIA ST
SUITE 1
CRYSTAL LAKE, IL
ZIP 60014-433
Phone: (815) 455-6373
Fax: (815) 455-6375

The enumeration date for this NPI number is 8/26/2005 and was last updated on 9/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		038-004127	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05682020-52	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	761760	MEDICARE PIN	ILLINOIS
3	P38686	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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