Crossroads Physician Corp
Crossroads Physician Corp is a Family Medicine Physician in Wayne City, Illinois. Licensed in Illinois. Registered with an NPI since 2005.
- Licensed in
- IL
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1209 W Robinson StWayne City, IL 62895-9672
Phone: (618) 895-2050
Fax: (618) 895-2056
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
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (IL) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X (IL) |
Record details
| NPI number | 1972597060 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Crossroads Physician Corp |
| Authorized official | Sophia Arwood — Director Of Provider Enrollment · (615) 628-6038 |
| Other names | Crossroads Family Medicine Of Wayne City |
| NPI enumerated | September 6, 2005 |
| Last updated in NPPES | September 19, 2013 |
| Mailing address | 1209 W Robinson St, Wayne City, IL 62895-9672 |
Other providers in Wayne City
-
National Healthcare of Mt Vernon Inc
1209 W Robinson St, Wayne City, IL 62895-9672 · (618) 895-2050