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

Dr. Jeffrey A. Crowhurst, DPM

Individual provider Podiatrist · NPI 1043216625

Dr. Jeffrey A. Crowhurst, DPM is a Podiatry in Ottawa, Illinois. Qualified in 1980, 46 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
46
Licensed in
IL
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1703 Polaris Cir
Ottawa, IL 61350-1683
Phone: (815) 434-1900
Fax: (815) 434-0933
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016003179 (IL)

Record details

NPI number1043216625
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedJune 28, 2005
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025
Mailing address1703 Polaris Cir, Ottawa, IL 61350-1683

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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