Organization Active NPI

Pmuc, LLC

  • Specialist
  • Mokena, IL
National Provider Identifier
1003085812
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PMUC, LLC
Practice address
19164 88TH Ave
Mokena, IL 60448-8135
Phone
(708) 567-4796
Fax
(708) 326-2965
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Rebecca Crainsmith, M.D.
Title
Owner/Doctor
Phone
(708) 567-4796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X IL Primary

Addresses

Primary practice location

19164 88TH Ave
Mokena, IL 60448-8135

Mailing address

19164 88TH Ave
Mokena, IL 60448-8135
Phone (708) 567-4796

Other names 1

  • Crainsmith Institute Former legal business name

National Provider Directory

National Provider Directory

Locations

19164 88th Ave
Mokena, IL 60448
Phone (708) 326-2966

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1003085812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19164 88TH AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488135",
            "telephone_number": "708-567-4796",
            "fax_number": "708-326-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19164 88TH AVE",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488135",
            "telephone_number": "708-567-4796",
            "fax_number": "708-326-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMUC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "CRAINSMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "708-567-4796",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crainsmith Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.