Doctor Name: | DR. RICHARD EVERETT MCCOY |
NPI Number: | 1376536060 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D. C. |
License Number: | |
Business Practice Address: | 181 N Virginia St Suite 1 Crystal Lake, IL - 600143433 |
Business Phone Number: | 8154556373 |
Business Fax Number: | 8154556375 |
Mailing Address: | 181 N Virginia St, Suite 1 CRYSTAL LAKE |
State: | IL |
Postal Code: | 600143433 |
Phone Number: | 8154556373 |
Fax Number: | 8154556375 |
NPI Enumeration Date: | 08/26/2005 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/27/2006 |
NPI Reactivation Date: | 04/10/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |