CROSSROADS FAMILY MEDICINE OF BENTON
NPI 1750375770
Family Medicine in Benton, IL

Active since September 06, 2005
320 N MAIN ST, SUITE A, BENTON, IL 62812(618) 439-6370(618) 439-6490 Get Directions Write a Review

NPPES record last updated: September 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Family Medicine Of Benton NPPES

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

CROSSROADS FAMILY MEDICINE OF BENTON (NPI 1750375770) is a healthcare organization registered as a family medicine in Benton, 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

NPI1750375770
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCROSSROADS PHYSICIAN CORP
Location Address320 N MAIN ST, SUITE ABenton, IL 62812-1313
Mailing Address320 N Main St, Suite ABenton, IL 62812-1313 · (618) 439-6370 · Fax (618) 439-6490
Fax(618) 439-6490
Organization SubpartYes
Authorized OfficialDebbie T BrewerDirector Of Provider Enrollment · (615) 465-7626
Enumeration DateSeptember 6, 2005
Last NPPES UpdateSeptember 19, 2007
NPI 1750375770 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.
320 N MAIN ST, Benton, IL 62812

Other Names 1

Doing Business AsCrossroads Family Medicine Of Benton

Other Identifiers 2

Medicare PIN208459IL
Medicare PIN599560IL

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 1750375770. It was assigned to this organization in the NPPES registry on September 6, 2005. The provider is doing business as Crossroads Family Medicine Of Benton.

Where is Crossroads Physician Corp located?

Crossroads Physician Corp is located at 320 N Main St Suite A, Benton, IL 62812. The listed phone number is (618) 439-6370.

What is Crossroads Physician Corp'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 Corp was last updated on September 19, 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.