CRANDON EMERGENCY PHYSICIANS LLC NPI 1376582783

NPI Information

NPI: 1376582783
Provider Name: CRANDON EMERGENCY PHYSICIANS LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address: 8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617
Phone: (773) 356-5362

Map and Directions

Get Directions

NPI Details

CRANDON EMERGENCY PHYSICIANS LLC is an emergency medicine in Chicago, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CRANDON EMERGENCY PHYSICIANS LLC NPI is 1376582783. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617-124
Phone: (773) 356-5362
Fax: (773) 768-8154

The provider's authorized official is Karen Vaughn .
The authorized official title is Officer and has the following contact phone number (973) 251-1132.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 3/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1633914	OTHER	ILLINOIS	ILLINOIS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI