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CROSSROADS FAMILY MEDICINE OF MCLEANSBORO
NPI 1366504888
Internal Medicine in Mcleansboro, IL

Active since December 14, 2006
208 S WASHINGTON STREET, MCLEANSBORO, IL 62859(618) 643-2835(618) 643-2891 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Crossroads Family Medicine Of Mcleansboro NPPES

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

CROSSROADS FAMILY MEDICINE OF MCLEANSBORO (NPI 1366504888) is a healthcare organization registered as an internal medicine in Mcleansboro, Illinois and active in the NPI registry since December 2006. The organization lists Debbie E Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1366504888
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCROSSROADS PHYSICIAN CORP
Location Address208 S WASHINGTON STREETMcleansboro, IL 62859
Mailing Address208 S Washington StreetMcleansboro, IL 62859 · (618) 643-2835 · Fax (618) 643-2891
Phone(618) 643-2835
Fax(618) 643-2891
Organization SubpartYes
Authorized OfficialDebbie E BrewerDirector Of Provider Enrollment · (877) 892-9813
Enumeration DateDecember 14, 2006
Last NPPES UpdateSeptember 18, 2007
✔ NPI 1366504888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
208 S WASHINGTON STREET, Mcleansboro, IL 62859
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Other Names 1

Doing Business AsCrossroads Family Medicine Of Mcleansboro

Other Identifiers 1

Medicare PIN208459IL

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 Corp's NPI number?

The NPI number for Crossroads Physician Corp is 1366504888. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Crossroads Family Medicine Of Mcleansboro.

Where is Crossroads Physician Corp located?

Crossroads Physician Corp is located at 208 S Washington Street, Mcleansboro, IL 62859. The listed phone number is (618) 643-2835.

What is Crossroads Physician Corp's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Crossroads Physician Corp was last updated on September 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.