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

Crystal Brozovich, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740957455

Crystal Brozovich, PA is a Physician Assistant in Morris, Illinois. Qualified in 2022, 4 years ago. Practices with Morris Hospital, a 115-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1802 N Division St Ste 201
Morris, IL 60450-1183
Phone: (815) 513-5625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1320 W Lombard St, Davenport, IA 52804-2029 — (815) 630-1728

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1740957455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 30, 2021
Last updated in NPPESMarch 15, 2024
Certification dateMarch 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Morris Hospital — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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