JACK DYER CROUCH III
NPI 1215772033
Dermatology in Chicago, IL
About Jack Dyer Crouch Iii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK DYER CROUCH III (NPI 1215772033) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (125.084866) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack Dyer Crouch Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CHICAGO, IL 60640
CHICAGO, IL 60640
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 Jack Crouch's NPI number?
The NPI number for Jack Crouch is 1215772033. It was assigned to this individual provider in the NPPES registry on June 25, 2024.
Where is Jack Crouch located?
Jack Crouch practices at 4646 N Marine Dr, Chicago, IL 60640. The listed phone number is (773) 564-5225.
What is Jack Crouch's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jack Crouch enrolled in Medicare?
Yes. Jack Crouch is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jack Crouch was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.