Provider Demographics
NPI:1902025547
Name:CARING FAMILY S. C.
Entity Type:Organization
Organization Name:CARING FAMILY S. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:S
Authorized Official - Last Name:GIESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-459-2200
Mailing Address - Street 1:781 MCHENRY AVE
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL LAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60014-7444
Mailing Address - Country:US
Mailing Address - Phone:815-459-2200
Mailing Address - Fax:815-788-9263
Practice Address - Street 1:781 MCHENRY AVE
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-7444
Practice Address - Country:US
Practice Address - Phone:815-459-2200
Practice Address - Fax:815-788-9263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5600288OtherBLUE CROSS BLUE SHIELD