Organization · Type 2 NPI

Crossroads Physicians Corp

Family Medicine Physician · Benton, IL

NPI number 1144286717 Active

Practice location

203 Bailey Ln
Benton, IL 62812-1969

Fax (618) 438-3622

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

5 other providers at this address

Other family medicine physician providers in Benton

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NPI record

NPI: 1144286717
Entity type: Organization (Type 2)
Issued: Apr 24, 2006
Last updated: Jan 2, 2008
Status: Active
Subpart: Yes of Crossroads Physicians Corp

Other names

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Crossroads Family Medicine of Benton #2 · doing business as

Authorized official

Debbie T Brewer
Director of Provider Enrollment
(615) 465-7626

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144286717

Crossroads Physicians Corp's National Provider Identifier is 1144286717, issued on Apr 24, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Benton, IL. The record was last updated on Jan 2, 2008.