MISS CLAUDIA GRACE CRUMRINE NPI 1629797089

NPI Information

  • NPI: 1629797089
  • Provider Name: MISS CLAUDIA GRACE CRUMRINE
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 555 W COURT ST STE 214
    KANKAKEE, IL
    ZIP 60901
  • Phone: (815) 928-6131

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NPI Details

MISS Claudia Grace Crumrine is a surgical physician assistant in Kankakee, IL with 3 years of experience. MISS Claudia Grace Crumrine NPI is 1629797089. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

555 W COURT ST STE 214
KANKAKEE, IL
ZIP 60901-674
Phone: (815) 928-6131

The NPI 1629797089 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/26/2022 and was last updated on 11/20/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical085009288ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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