BRIAN TODD CROWE (NPI# 1154580116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154580116 |
| Entity Type | Individual |
| Full Name | BRIAN TODD CROWE |
| Credential | SAC |
| Practice Address |
9763 W White Eagle Rd Forreston IL 61030-9208 |
| Practice Telephone | 8152100696 |
| Mailing Telephone | 8152100696 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-05-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 238000084 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932615770 | Brian Crowe | Case Manager/Care Coordinator | 1501 Madison Rd, Walnut Hills, OH 45206-1706 | 2017-12-15 |
| 1336183441 | Brian Crowe | Physical Therapist | 1 Saint Mark St, Suite B, Auburn, MA 01501-3237 | 2006-06-16 |
| Street Address |
9763 W WHITE EAGLE RD |
| City | FORRESTON |
| State | IL |
| Zip Code | 61030-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942656657 | North Shore Surgical Associates | General Acute Care Hospital | 9763 W White Eagle Rd, Forreston, IL 61030-9208 | 2016-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699902080 | Jennifer L Anderson | Dentist | 208 N. Walnut Ave, Forreston, IL 61030 | 2009-06-12 |
| 1407068646 | Forreston Dental | Dentist | 510 5th Avenue, Forreston, IL 61030 | 2007-05-03 |
| 1992824924 | Forreston Fire Protection District | Ambulance | 301 E. Main Street, Forreston, IL 61030-0212 | 2007-03-29 |
| 1366774150 | Schoaf Family Chiropractic LLC | Chiropractor | 210 S. First Ave., Forreston, IL 61030-0307 | 2010-02-04 |
| 1700845104 | Daniel Patrick Schoaf | Chiropractor | 210 S 1st Avenue, Forreston, IL 61030-0307 | 2006-03-23 |
| 1295954089 | Keith R. Ruter | Dentist | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2007-04-24 |
| 1437703113 | Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il | Clinic/Center | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2019-07-30 |
| 1912175936 | Forrestville Valley U S D 221 | Local Education Agency (LEA) | 601 E Main St, Forreston, IL 61030-9474 | 2008-02-12 |
| 1053523704 | April Moore | Family Medicine | 803 S First Ave, Forreston, IL 61030-9575 | 2007-05-04 |
| 1013051465 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 803 S 1st Ave, Forreston, IL 61030-9575 | 2007-02-19 |
| Find all providers in zip 61030 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1801402938 | Terri Sendelbach | Specialist | 340 W Butterfield Rd Ste 4b-418, Elmhurst, IL 60126-5069 | 2020-09-23 |
| 1346899630 | Jeremy Gantz Morse | Specialist | 815 W Buena Ave, Chicago, IL 60613-1694 | 2019-09-09 |
| 1619539632 | Benjamin Mendoza | Specialist | 6303 W 63rd St Unit 3c, Chicago, IL 60638-7015 | 2019-06-29 |
| 1891356176 | Kristin Michelle Stahlheber | Specialist | 6718 Goshen Rd, Edwardsville, IL 62025-3025 | 2019-06-26 |
| 1689238438 | Sara Sladoje | Specialist | 936 Raleigh Rd, Glenview, IL 60025-4330 | 2019-04-26 |
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1962979286 | Time 2 Talk, LLC | Specialist | 6791 Wesley Chapel Rd, Chatham, IL 62629-9722 | 2018-10-24 |
| 1871068783 | Kelsey Lynn Mora | Specialist | 5225 Old Orchard Rd Ste 14, Skokie, IL 60077-1027 | 2018-10-06 |
| 1811471808 | Judith M Penn | Specialist | 8312 S Kedzie Ave, Chicago, IL 60652-3309 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.