Crossroads Physician Corp
Crossroads Physician Corp is an Internal Medicine Physician in McLeansboro, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
208 S Washington StMcLeansboro, IL 62859
Phone: (618) 643-2835
Fax: (618) 643-2891
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X (IL) |
| Nurse Practitioner | Taxonomy 363L00000X (IL) |
Record details
| NPI number | 1366504888 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Crossroads Physician Corp |
| Authorized official | Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813 |
| Other names | Crossroads Family Medicine Of McLeansboro |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | September 18, 2007 |
| Mailing address | 208 S Washington Street, McLeansboro, IL 62859 |