Crossan, Paul D
Crossan, Paul D is an individual health care provider with primary practice located at 19060 Everett Blvd Suite 112, Mokena IL 60448-1942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Crossan, Paul D can be contacted via phone (708) 478-4302.Contact Information
Primary practice address
19060 Everett Blvd Suite 112
Mokena IL 60448-1942
Phone: (708) 478-4302
Fax: (708) 478-4303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036114158 | Illinois |
Profile Details
| NPI number | 1669465936 |
|---|---|
| LBN Legal business name | Crossan, Paul D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Feb 11th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669465936 | NPPES |
| Illinois | MEDICAID | 036114158 |
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