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Contact Information

JEFFREY A CROWHURST, DPM
1703 POLARIS CIR
OTTAWA, IL61350-1683
 Phone: 815-434-1900
 Fax: 815-434-0933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEFFREY A CROWHURST · (Male)

NPI # 1043216625
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/28/2005
Last updated 07/26/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016003179
  • IL Medicaid 016003179
  • Other 480025582 RAILROAD MEDICARE
  • IL Other 60101269 BLUE CROSS
Hospital affiliation(s)
  • MORRIS HOSPITAL & HEALTHCARE CENTERS - (Acute Care)
    150 W HIGH ST
    MORRIS, IL 60450
  • OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER - (Acute Care)
    1100 EAST NORRIS DRIVE
    OTTAWA, IL 61350
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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