Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Glen T Matejka, DNDCDACBNCCN

Individual provider Chiropractor · NPI 1366404568

Dr. Glen T Matejka, DNDCDACBNCCN is a Chiropractic in Crystal Lake, Illinois. Graduated from National College of Chiropractic in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
41
Trained at
National College of Chiropractic
Licensed in
IL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

7105 Virginia Rd Ste 15
Crystal Lake, IL 60014-7985
Phone: (815) 455-4500
Fax: (815) 455-4529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 038007434 (IL)
Nutrition Chiropractor Taxonomy 111NN1001X · Licence 164003999 (IL)

Record details

NPI number1366404568
Entity typeIndividual (Type 1)
GenderMale
Credentials DNDCDACBNCCN
Sole proprietorYes
NPI enumeratedApril 4, 2006
Last updated in NPPESMay 29, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crystal Lake