CROSSROADS FAMILY MEDICINE OF MCLEANSBORO – NPI #1366504888
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CROSSROADS FAMILY MEDICINE OF MCLEANSBORO is a provider located in MCLEANSBORO, IL. NPPES has assigned the NPI number 1366504888 to CROSSROADS FAMILY MEDICINE OF MCLEANSBORO on December 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CROSSROADS FAMILY MEDICINE OF MCLEANSBORO” is a dba name, the actual legal business name for this organization is CROSSROADS PHYSICIAN CORP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 19 years ago on Sep 18, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CROSSROADS FAMILY MEDICINE OF MCLEANSBORO below.

NPI Profile for
CROSSROADS PHYSICIAN CORP

NPI Number
1366504888
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROSSROADS PHYSICIAN CORP
Doing Business As (dba): CROSSROADS FAMILY MEDICINE OF MCLEANSBORO
Primary location
208 S WASHINGTON STREET
MCLEANSBORO, IL 62859
Phone: (618) 643-2835 Fax: (618) 643-2891
Mailing address
Same as primary location
Organization Subpart
Yes - CROSSROADS FAMILY MEDICINE OF MCLEANSBORO is subpart of another organization.
Authorized Official
DEBBIE BREWER
DIRECTOR OF PROVIDER ENROLLMENT
Phone: (877) 892-9813
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
IL
363L00000X
- Nurse Practitioner
IL
363A00000X
- Physician Assistant
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.