CRAWFORD SURGICARE (NPI# 1508031295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508031295 |
| Entity Type | Organization |
| Organization Name | CRAWFORD SURGICARE |
| Practice Address |
6441 S Pulaski Rd Chicago IL 60629-5148 |
| Practice Telephone | 7735827100 |
| Practice Fax Number | 7735611111 |
| Mailing Telephone | 7735827100 |
| Mailing Fax Number | 7735611111 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | DR. WALTER JACOBSEN (PRESIDENT) |
| Authorized Official Telephone | 7735827100 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | W JACOBSEN DPM PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
016004485 | IL | Ambulatory Health Care Facilities |
| Street Address |
6441 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-5148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043230857 | Mohamed Dahodwala | Internal Medicine | 6441 S Pulaski Rd, Suite 100, Chicago, IL 60629-5148 | 2006-07-21 |
| 1659547859 | Juraj Letko | Obstetrics & Gynecology | 6441 S Pulaski Rd, Chicago, IL 60629-5148 | 2008-05-07 |
| 1720150592 | Ali Ahmed Mohamed | Physical Therapist | 6441 S Pulaski Rd, Suite 306, Chicago, IL 60629-5148 | 2006-11-15 |
| 1972672640 | Atef Salama | Physical Therapist | 6441 S Pulaski Rd, Suite 306, Chicago, IL 60629-5148 | 2006-11-07 |
| 1922177633 | Horizon Physical Therapy PC | Physical Therapist | 6441 S Pulaski Rd, Suite 306, Chicago, IL 60629-5148 | 2006-11-07 |
| 1861579377 | Cardiac Associates Sc | Internal Medicine | 6441 S Pulaski Rd, Suite 100, Chicago, IL 60629-5148 | 2006-11-01 |
| 1518978923 | Midwest Cardiac Center Sc | Internal Medicine | 6441 S Pulaski Rd, Chicago, IL 60629-5148 | 2006-08-10 |
| 1952310229 | Luciano Nimedez Valdez | Pediatrics | 6441 S Pulaski Rd, Suite 300, Chicago, IL 60629-5148 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399509 | G3 Medical LLC | Clinic/Center | 8751 S Greenwood Ave Ste 100, Chicago, IL 60619-7051 | 2020-08-31 |
| 1528610771 | Young Foot and Ankle | Clinic/Center | 1932 W Crystal St # 1, Chicago, IL 60622-3132 | 2019-07-09 |
| 1457423683 | Park Medical & Surgical Plaza | Clinic/Center | 2621 N Halsted St, Chicago, IL 60614-2301 | 2006-11-14 |
| 1841389830 | Logan Square Foot Center | Clinic/Center | 2831 N Milwaukee Ave., Chicago, IL 60618-7403 | 2006-10-11 |
| 1811965635 | Northwest Ambucare | Clinic/Center | 4040 W Peterson Ave, Chicago, IL 60646-6019 | 2006-03-08 |
| 1366083032 | Ramin Ghazizadeh | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-10-03 |
| 1285107540 | Pipeline - Lakefront Medical Associates, LLC | Clinic/Center | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2019-01-09 |
| 1073921193 | Dr. Jeremy Schwartz Dpm LLC | Clinic/Center | 525 W Hawthorne Pl, #3003, Chicago, IL 60657-2907 | 2014-08-01 |
| 1427245141 | Charlotte M. Covello, Dpm,llc | Clinic/Center | 30 N Michigan Ave, Suite 720, Chicago, IL 60602-3809 | 2007-09-26 |
| 1548381825 | Podiatry Center, Sc | Clinic/Center | 30 N Michigan Ave, Suite 1129, Chicago, IL 60602-3402 | 2007-04-03 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on CRAWFORD SURGICARE.
| 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.