MS. THERESA LYNN CROWDER PAC
NPI 1619961737
Physician Assistant in Milford, IL

Active since September 02, 2005
207 N AXTEL AVE, MILFORD, IL 60953(815) 889-4241(815) 889-4244 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Theresa Lynn Crowder Pac NPPES

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

MS. THERESA LYNN CROWDER PAC (NPI 1619961737) is an individual physician assistant in Milford, Illinois, licensed in Illinois (85002866) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1619961737
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. THERESA LYNN CROWDERCredential: PAC
Location Address207 N AXTEL AVEMilford, IL 60953-1003
Mailing Address309 S James StGoodland, IN 47948-8124 · (517) 425-9427
Fax(815) 889-4244
Sole ProprietorYes
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1619961737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IL · 85002866 Licensed in MI · 5601003575
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

207 N AXTEL AVE, Milford, IL 60953

Other Identifiers 2

Medicare UPINP 39243MI
Medicare ID-Type UnspecifiedON3566OMI

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 Theresa Crowder's NPI number?

The NPI number for Theresa Crowder is 1619961737. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Theresa Crowder located?

Theresa Crowder practices at 207 N Axtel Ave, Milford, IL 60953. The listed phone number is (815) 889-4241.

What is Theresa Crowder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theresa Crowder was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.