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MARK D CROCKETT M.D.
NPI 1073542403
Emergency Medicine in Morris, IL

Active since June 30, 2006
150 W HIGH ST, MORRIS, IL 60450(815) 942-2932 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark D Crockett M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK D CROCKETT M.D. (NPI 1073542403) is an individual emergency medicine provider in Morris, Illinois, licensed in Illinois (036091397) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073542403
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK D CROCKETTCredential: M.D.
Location Address150 W HIGH STMorris, IL 60450-1463
Mailing AddressPo Box 66973, Slot 303125Chicago, IL 60666-0973 · (877) 852-4669
Phone(815) 942-2932
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJune 1, 2011
✔ NPI 1073542403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 036091397
Definition
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.
150 W HIGH ST, Morris, IL 60450
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Other Identifiers 4

Medicare UPING19156IL
Medicare ID-Type UnspecifiedL81376IL
Other930096984IL · Railroad Medicare
Medicaid0360913973IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORRIS HOSPITAL
Clinical Medical Laboratory
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
REGGIE A FLECK MNT
Dietitian, Registered
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
KATE-LYNN M OLSON-GEIER P.A.
Physician Assistant (Medical)
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
LAKSHMI ANUBROLU MD
Internal Medicine
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
DR. BIREN M. PATEL M.D.
Radiology (Diagnostic Radiology)
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
NANCY A STEWART MNT
Dietitian, Registered
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
SOUTHWEST DIABETES ENDOCRINOLOGY ASSOCIATES SC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932
DR. KENOSA KOSICHO OKAFOR M.D.
Hospitalist
150 W HIGH ST
MORRIS, IL 60450
Grundy County (815) 942-2932

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Crockett's NPI number?

The NPI number for Mark Crockett is 1073542403. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Mark Crockett located?

Mark Crockett practices at 150 W High St, Morris, IL 60450. The listed phone number is (815) 942-2932.

What is Mark Crockett's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Mark Crockett was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.