CROCKETT CONSTRUCTION INCORPORATED NPI 1669342804

NPI Information

  • NPI: 1669342804
  • Provider Name: CROCKETT CONSTRUCTION INCORPORATED
  • Classification: Contractor - 171WH0202X
  • Specialization: Home Modifications
  • Entity Type: Organization
  • Address: 1223 N CONVENT ST
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (708) 301-8522

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NPI Details

CROCKETT CONSTRUCTION INCORPORATED is a home modifications contractor in Bourbonnais, IL. The provider is a contractor who makes modifications to homes to accommodate a health condition. CROCKETT CONSTRUCTION INCORPORATED NPI is 1669342804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1223 N CONVENT ST
BOURBONNAIS, IL
ZIP 60914-005
Phone: (708) 301-8522

The provider's authorized official is Brandon Crockett .
The authorized official title is President Of Operations and has the following contact phone number (708) 670-0039.

The enumeration date for this NPI number is 11/11/2025 and was last updated on 11/11/2025.

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
1171WH0202XContractorHome ModificationsYes

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

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