MR. JOHN MICHAEL CRULCICH (NPI# 1962583427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962583427 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL CRULCICH |
| Other Name | MR. J. MICHAEL CRULCICH |
| Credential | A.P.N., F.N.P. |
| Practice Address |
333 S State St Room 2143 Chicago IL 60604-3900 |
| Mailing Address |
734 S Miller St Chicago IL 60607-3409 |
| Practice Telephone | 3127479678 |
| Practice Fax Number | 3127479420 |
| Mailing Telephone | 3124213392 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209-002450(41-19 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 S STATE ST ROOM 2143 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60604-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715237 | Chicago Department of Public Health | Clinic/Center | 333 S State St, Revenue #200, Chicago, IL 60604-3900 | 2005-07-29 |
| 1114471075 | Joyce Morris | Technician, Health Information | 333 S State St, Room 200, Chicago, IL 60604-3900 | 2016-08-09 |
| 1710321534 | Jittaun Yvette Bobo | Case Manager/Care Coordinator | 333 S State St, Chicago, IL 60604-3900 | 2013-04-23 |
| 1417232992 | Monique Shaunta Franklin | Counselor | 333 S State St, Second Floor, Chicago, IL 60604-3900 | 2011-10-17 |
| 1366724692 | Anhelecia Marie Williams | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2011-09-13 |
| 1538477260 | City of Chicago | Preferred Provider Organization | 333 S State St, Chicago, IL 60604-3900 | 2010-09-15 |
| 1831405612 | Anne Bradley | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2010-08-31 |
| 1972815488 | Marie Richard-jackson | Social Worker | 333 S State St, Chicago, IL 60604-3900 | 2010-07-13 |
| 1447562897 | Bonnie Gail Bluestein | Counselor | 333 S State St, Chicago, IL 60604-3900 | 2010-07-13 |
| 1710299300 | Jeremy M. Raven | Counselor | 333 S State St, 2nd, Chicago, IL 60604-3900 | 2010-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750853719 | Michael Cramer | Nurse Practitioner | 322 S. Michigan Ave, Suite 1100, Chicago, IL 60604 | 2018-12-31 |
| 1174079883 | Cardinal Technical Sc | Specialist | 208 Lasalle Street, Suite 214, Chicago, IL 60604 | 2016-09-01 |
| 1427412436 | Your Choice Homecare, Inc. | Home Health | 332 S. Michigan Ave., Suite 1032-y43, Chicago, IL 60604 | 2016-04-06 |
| 1548634843 | Catherine Ranieri | Counselor | 53 W Jackson Blvd Ste 1625, Chicago, IL 60604 | 2015-11-24 |
| 1356710701 | Otis Peeples | Counselor | 134 N Lasalle Suite 400, Chicago, IL 60604 | 2015-09-16 |
| 1124495916 | Te You Moore | Counselor | 53 W Jackson Blvd Ste 1360, Chicago, IL 60604 | 2015-08-27 |
| 1992187686 | Kathryn Weaver | Psychiatry & Neurology | 343 South Dearborn Street Apt # 304, Chicago, IL 60604 | 2015-06-18 |
| 1700162583 | Tracy Bisterfeldt | Psychologist | 53 W. Jackson Blvd., Unit 635, Chicago, IL 60604 | 2011-10-25 |
| 1619201084 | Jennifer Gurski | Social Worker | 53 W. Jackson Blvd, Chicago, IL 60604 | 2009-10-01 |
| 1578736252 | Richard A Reschke | Naprapath | 141 W. Jackson Boulevard, Suite 2170, Chicago, IL 60604 | 2008-04-02 |
| Find all providers in zip 60604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1881291706 | Rita Elue | Nurse Practitioner | 6241 N Winthrop Ave Apt 307, Chicago, IL 60660-2071 | 2020-10-04 |
| 1558976514 | Janice Nicole Kinney | Nurse Practitioner | 10127 S Harding Ave, Chicago, IL 60655-3748 | 2020-09-15 |
| 1881209278 | Monique Graves | Nurse Practitioner | 4912 W Adams St Apt 2, Chicago, IL 60644-4445 | 2020-09-11 |
| 1194339721 | Maureen Iyesogie Diji | Nurse Practitioner | 4658 S Ellis Ave, Chicago, IL 60653-3625 | 2020-09-01 |
| 1669085395 | Emily Calderon | Nurse Practitioner | 5556 N Sheridan Rd Apt 506, Chicago, IL 60640-1677 | 2020-08-24 |
| Find all providers in CHICAGO | ||||
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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.