DR. TERRI L CRAWLEY (NPI# 1386735595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386735595 |
Entity Type | Individual |
Full Name | DR. TERRI L CRAWLEY |
Credential | MD |
Practice Address |
2000 Lake Ave Woodstock IL 60098-7401 |
Practice Telephone | 8153377100 |
Mailing Telephone | 8153377100 |
Enumeration Date | 2006-09-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036107383 1 | 05 | |
WI | 34490200 | 05 |
Street Address |
2000 LAKE AVE |
City | WOODSTOCK |
State | IL |
Zip Code | 60098-7401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750389953 | Anil K Khemani | Internal Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2005-07-12 |
1497373286 | Michelle T Gahgan | Nurse Practitioner | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2020-07-08 |
1417456476 | Matthew R. Banks | Physical Therapy Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2018-02-06 |
1801247176 | Guoqing Song | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2016-06-28 |
1114398930 | Norman J Mecwan | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2015-10-20 |
1669883971 | Jenna M Raju | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-05-09 |
1508281114 | Lawrence Thomas Walsh Jr. | Pharmacist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-02-19 |
1548696404 | Laura Lynn Dickman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-09-23 |
1922346220 | Naomi M Tamparong | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-01-21 |
1649523838 | Kelly Marie Winkelman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2012-10-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
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Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578906830 | Adele Handy Goodloe | Pediatrics | 250 Parbrooke Place, Suite 200, Woodstock, GA 30189-6401 | 2013-04-16 |
1306191721 | Thanhtam Thi Le | Pediatrics | 2000 Professional Way Ste 200, Woodstock, GA 30188-4093 | 2012-07-23 |
1649409244 | Shalini Mala Shah | Pediatrics | 900 Towne Lake Pkwy Ste 306, Woodstock, GA 30189-1604 | 2009-07-06 |
1760678817 | David Allen Stumpf | Pediatrics | 1101 Alpine Ln, Woodstock, IL 60098-9726 | 2007-09-22 |
1346319308 | Timothy Christopher Lorenz | Pediatrics | 155 River Park Xing, Woodstock, GA 30188-7801 | 2006-11-06 |
1760575567 | Anthony Robert Neri | Pediatrics | 1065 S Main St, Woodstock, VA 22664-1041 | 2006-10-02 |
1114958824 | Harriet Eyvonne Cadle | Pediatrics | 3221 S Cherokee Ln Ste 1810, Woodstock, GA 30188-4797 | 2006-07-05 |
1194775189 | Susan Cardona | Pediatrics | 2392 Glasco Tpke, Woodstock, NY 12498-1076 | 2006-05-11 |
1992763791 | Laura M Larkner | Pediatrics | 3707 Doty Rd Ste H, Woodstock, IL 60098 | 2006-05-02 |
1447218334 | Adriana Rzeznik | Pediatrics | 2000 Professional Way, Bldg 200 Ste B, Woodstock, GA 30188 | 2006-05-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.