CROSSROADS EMERGENCY PHYSICIANS LLP


Address: 1201 Pine St, Eldorado, IL 62930-1634
Phone: 6182733361

CROSSROADS EMERGENCY PHYSICIANS LLP (NPI# 1447796289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447796289
Entity Type Organization
Organization Name CROSSROADS EMERGENCY PHYSICIANS LLP
Practice Address 1201 Pine St
Eldorado
IL 62930-1634
Mailing Address 75 Remit Dr # 1122
Chicago
IL 60675-1122
Practice Telephone 6182733361
Mailing Telephone 8443641730
Enumeration Date 2017-01-18
Last Update Date 2017-01-18
Authorized Official Name DERIK KING (MANAGING PARTNER)
Authorized Official Telephone 8669165259
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1201 PINE ST
City ELDORADO
State IL
Zip Code 62930-1634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508843996 Ahmed Ali Tariq Internal Medicine 1201 Pine St, Eldorado, IL 62930-1634 2005-12-27
1750917647 Betty J German Social Worker 1201 Pine St, Eldorado, IL 62930-1634 2020-03-23
1033651559 Christine Lucille Raben Social Worker 1201 Pine St, Eldorado, IL 62930-1634 2016-11-15
1659756062 Melissa J Obert Occupational Therapist 1201 Pine St, Eldorado, IL 62930 2015-07-27
1649602368 Core Physician Resources PC Emergency Medicine 1201 Pine St, Eldorado, IL 62930-1634 2013-08-05
1922312396 Ferrell Hospital Family Practice Clinic Clinic/Center 1201 Pine St, Eldorado, IL 62930-1634 2010-07-28
1639328479 Terri S Young Physical Therapist 1201 Pine St, Eldorado, IL 62930-1634 2008-09-17
1801044417 Bruce H Bradley Occupational Therapist 1201 Pine St, Eldorado, IL 62930-1634 2008-09-08
1780883843 Nathan Oldham Family Medicine 1201 Pine St, Eldorado, IL 62930-1634 2007-07-17
1477761781 Lauren Meredith Sanders Counselor 1201 Pine St, Eldorado, IL 62930-1634 2007-05-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164951802 Jeanette Long X Licensed Practical Nurse 70 Alexander St, Eldorado, IL 62930 2017-06-07
1720510514 Mckayla Addison Wren Counselor 1412 Us. 45n, Eldorado, IL 62930 2017-03-30
1407394901 Melody Jo Smith Licensed Practical Nurse 2260 Raleigh Road, Eldorado, IL 62930 2017-02-03
1205250412 Becks Long Term Care Pharmacy Inc Pharmacy 1413 Locust Street, Eldorado, IL 62930 2014-02-07
1346559283 Danny Ray Phillips Pharmacist 1021 Us Hwy 45 North, Eldorado, IL 62930 2010-09-27
1447434477 Elana Ruth Floyd-kennett Social Worker 1007 Route 45, Eldorado, IL 62930 2007-12-27
1417150376 Luke Tyler Hall Family Medicine 1407 Locust St, Eldorado, IL 62930 2007-06-07
1134320039 Eldorado Community Unit School District #4 Local Education Agency (LEA) 1040 Washington, Eldorado, IL 62930 2007-05-29
1013071026 Marion Eye Centers Ltd. Durable Medical Equipment & Medical Supplies 1204 U.S. 45 N., Eldorado, IL 62930 2006-12-21
1467536557 Debra Dian Rumsey Licensed Practical Nurse 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 2006-10-25
Find all providers in zip 62930

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043254386 Matthew P Datzman Emergency Medicine 105 Kane Rd, Eldorado, IL 62930-3736 2006-06-16
1649602368 Core Physician Resources PC Emergency Medicine 1201 Pine St, Eldorado, IL 62930-1634 2013-08-05
1740268648 Bruce A Sobko Emergency Medicine 1201 Pine St, Eldorado, IL 62930-1634 2006-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811503394 Susan Lochhead Emergency Medicine 1930 N Fremont St, Chicago, IL 60614-5017 2020-09-19
1851900344 Cepamerica Illinois PC Emergency Medicine 2112 S Michigan Ave, Chicago, IL 60616-1704 2020-07-30
1225650773 Evan Alexander Jenkins Emergency Medicine 701 N 1st St Ste 220, Springfield, IL 62702-3757 2020-05-07
1962030775 Ramya Kondaveeti Emergency Medicine 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 2020-03-28
1972157097 Francesca Taylor Emergency Medicine 20930 W Verona Ave, Lake Villa, IL 60046-7606 2019-07-26
1538622287 Brandon Fen Chang Emergency Medicine 820 S Wood St Ste 100, Chicago, IL 60612-4325 2019-04-10
1053872630 Oretunlewa Soyinka Emergency Medicine 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 2019-03-27
1457818098 Innovative Iv Care, Pllc Emergency Medicine 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 2019-03-01
1013414077 Lauran Wirfs Emergency Medicine 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 2018-04-06
1518461987 David Bennett Feiger Emergency Medicine 211 E Huron St, Suite 200, Chicago, IL 60611-3055 2018-03-21
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Competitor

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City ELDORADO
Zip Code 62930

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Dataset Information

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.

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