Carlos Crudup is a Family Medicine in Glenwood, Illinois. Carlos Crudup practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Carlos Crudup is 1174556484. The last update date is 2016-02-02.
Carlos Crudup's current location address is 19310 S Halsted St, Glenwood, Illinois. You can contact this provider via phone number 7083003132. The mailing address for Carlos Crudup is 19310 S Halsted St, Glenwood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carlos Crudup |
|---|---|
| Address | 19310 S Halsted St, Glenwood, Illinois |
| Phone Number | 7083003132 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174556484 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2016-02-02 |
Provider Mailing Address Detail
| Address | 19310 S Halsted St |
|---|---|
| City | Glenwood |
| State | Illinois (IL) |
| Post Code | 604251562 |
| Phone Number | 7083003132 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 036-112800 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Carlos Crudup by the Centers for Medicare & Medicaid Services?
The Carlos Crudup has been issued the NPI (National Provider Identifier) 1174556484. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Carlos Crudup's facilities are situated?
The facilities of Carlos Crudup are physically located at the following address: 19310 S Halsted St, Glenwood, IL, 604251562.
What is Carlos Crudup's area of expertise and its corresponding taxonomy classification?
The Carlos Crudup's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174556484 to Carlos Crudup?
The Centers for Medicare & Medicaid Services originally issued the 1174556484 to Carlos Crudup on 2006-07-09.
As of what date was the information regarding Carlos Crudup, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carlos Crudup, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-02.
NPI Number: 1376546309
Address: 1498 Se Tech Center Pl Ste 240, Vancouver, WA