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

Miss. Claudia Grace Crumrine

Individual provider Surgical Physician Assistant · NPI 1629797089

Miss. Claudia Grace Crumrine is a Physician Assistant in Kankakee, Illinois. Qualified in 2022, 4 years ago. Practices with Ahp Specialty Care Nfp, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022

Practice location Address checks out

555 W Court St Ste 214
Kankakee, IL 60901-3674
Phone: (815) 928-6131
Show map & directions

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

Additional practice locations (1)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085009288 (IL)

Record details

NPI number1629797089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2022
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 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 Ahp Specialty Care Nfp — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare