Crandall Cassie Fuerth

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036166408 Issued in IL

Practice address

636 Raymond Dr Ste 205
Naperville, IL 60563-9791

Phone

(630) 717-2300

NPI assigned

May 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cfuerth274350@direct.luriechildrens.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD
• Dupage Medical Group LTD

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983

  Single Specialty

  NPD (past)
• Pediatric Health Associates LTD

  • Pediatrics Physician
  • Naperville, IL
  • NPI 1538265855

  Single Specialty

  NPD (past)
• University of Chicago

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1821048786

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1356963250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17606 66TH CT",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774022",
            "telephone_number": "312-478-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 RAYMOND DR STE 205",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639791",
            "telephone_number": "630-717-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUERTH",
        "first_name": "CRANDALL",
        "middle_name": "CASSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036166408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Anne Frost, LCPC, CADC
• Thomas Patrick Fry, D.O.
• Jun Fu
• Samantha Nicole Fuentes
• Tiffany Fuentes
• Full Access Therapies
• Tassanee Fullone
• Antoinette Funk, R.PH.
• Peter J Furey, M.D.
• Lisa L Furto, PT

• Pediatrics Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.