Organization · Type 2 NPI

Crossroads Physician Corp

Family Medicine Physician · Benton, IL

NPI number 1750375770 Active

Practice location

320 N Main St, Suite A
Benton, IL 62812-1313

Fax (618) 439-6490

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.

Other family medicine physician providers in Benton

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NPI record

NPI: 1750375770
Entity type: Organization (Type 2)
Issued: Sep 6, 2005
Last updated: Sep 19, 2007
Status: Active
Subpart: Yes of Crossroads Physician Corp

Other names

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Crossroads Family Medicine of Benton · 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 1750375770

Crossroads Physician Corp's National Provider Identifier is 1750375770, issued on Sep 6, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Benton, IL. The record was last updated on Sep 19, 2007.