Organization · Type 2 NPI

Crossroads Physician Corp

Family Medicine Physician · Wayne City, IL

NPI number 1972597060 Active

Practice location

1209 W Robinson St
Wayne City, IL 62895-9672

Call (618) 895-2050 Map

Fax (618) 895-2056

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Physician Assistant	363A00000X	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.

3 other providers at this address

Other family medicine physician providers in Wayne City

National Healthcare of MT Vernon IncFamily Medicine Physician Wayne City, IL NPI 1528305448

See all in Wayne City →

NPI record

NPI: 1972597060
Entity type: Organization (Type 2)
Issued: Sep 6, 2005
Last updated: Sep 19, 2013
Status: Active
Subpart: Yes of Crossroads Physician Corp

Other names

<unavail>
Crossroads Family Medicine of Wayne City · doing business as

Authorized official

Sophia Arwood
Director of Provider Enrollment
(615) 628-6038

Verify this record

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.

Is this your record? How to update it.

About NPI 1972597060

Crossroads Physician Corp's National Provider Identifier is 1972597060, issued on Sep 6, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Wayne City, IL. The record was last updated on Sep 19, 2013.