DR. REBECCA J CRAINSMITH MD NPI 1528175015

NPI Information

NPI: 1528175015
Provider Name: DR. REBECCA J CRAINSMITH, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
19162 88TH AVE
MOKENA, IL
ZIP 60448
Phone: (708) 567-4796
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DR. Rebecca J Crainsmith, MD is a family medicine in Mokena, IL. The provider is 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 is not limited by age, sex, organ system, or disease entity. DR. Rebecca J Crainsmith, MD NPI is 1528175015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19162 88TH AVE
MOKENA, IL
ZIP 60448-135
Phone: (708) 567-4796
Fax: (708) 326-2965

The enumeration date for this NPI number is 8/23/2006 and was last updated on 9/26/2007.

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	207Q00000X	Family Medicine			ILLINOIS	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	09932090	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	H75969	MEDICARE UPIN
3	203894	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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