Active NPI
Richard A Crane, M.D.
- Forensic Psychiatry Physician
- Chicago, IL
National Provider Identifier
1205013299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- 036068329
- Practice address
- 3750 N Lake Shore Dr
Chicago, IL 60613-4238 - Phone
- (773) 935-7107
- NPI assigned
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 036068329 | IL | Primary |
Addresses
Primary practice location
3750 N Lake Shore Dr
Chicago, IL 60613-4238
Mailing address
3750 N Lake Shore Dr
Chicago, IL 60613-4238
Phone (773) 935-7107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036068329 | IL | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1205013299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134238",
"telephone_number": "773-935-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606134238",
"telephone_number": "773-935-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRANE",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "IL",
"license": "036068329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.