CROSSROADS FAMILY MEDICINE OF OKAWVILLE
NPI 1184619033
Family Medicine in Okawville, IL

Active since September 16, 2005
205 E BELLEVILLE, OKAWVILLE, IL 62271(618) 243-5151(618) 243-5220 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crossroads Family Medicine Of Okawville NPPES

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

CROSSROADS FAMILY MEDICINE OF OKAWVILLE (NPI 1184619033) is a healthcare organization registered as a family medicine in Okawville, Illinois and active in the NPI registry since September 2005. The organization lists Debbie T Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1184619033
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS PHYSICIAN CORPORATION
Location Address205 E BELLEVILLEOkawville, IL 62271
Mailing Address205 E BellevilleOkawville, IL 62271 · (618) 243-5151 · Fax (618) 243-5220
Fax(618) 243-5220
Organization SubpartYes
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateSeptember 16, 2005
Last NPPES UpdateSeptember 19, 2007
NPI 1184619033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

205 E BELLEVILLE, Okawville, IL 62271

Other Names 1

Doing Business AsCrossroads Family Medicine Of Okawville

Other Identifiers 2

Medicare PIN81890IL
Medicare PIN212649IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Crossroads Physician Corporation's NPI number?

The NPI number for Crossroads Physician Corporation is 1184619033. It was assigned to this organization in the NPPES registry on September 16, 2005. The provider is doing business as Crossroads Family Medicine Of Okawville.

Where is Crossroads Physician Corporation located?

Crossroads Physician Corporation is located at 205 E Belleville, Okawville, IL 62271. The listed phone number is (618) 243-5151.

What is Crossroads Physician Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Physician Corporation was last updated on September 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.