CROSSROADS PHYSICIAN CORPORATION NPI 1629063698

NPI Information

  • NPI: 1629063698
  • Provider Name: CROSSROADS PHYSICIAN CORPORATION
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1245 S MILL ST
    NASHVILLE, IL
    ZIP 62263
  • Phone: (618) 327-9333

Map and Directions

Get Directions

NPI Details

CROSSROADS PHYSICIAN CORPORATION is a family medicine in Nashville, 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. CROSSROADS PHYSICIAN CORPORATION NPI is 1629063698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1245 S MILL ST
NASHVILLE, IL
ZIP 62263-004
Phone: (618) 327-9333
Fax: (618) 327-9022

The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 4/27/2009.

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
1363A00000XPhysician AssistantILLINOISNo
2207Q00000XFamily MedicineILLINOISYes

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
1036052179MEDICAIDILLINOIS
2212649MEDICARE PINILLINOIS
381890MEDICARE PINILLINOIS
4207366MEDICARE PINILLINOIS

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: 11/21/2025

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