Active NPI
C&R Medical Group SC
- Family Medicine Physician
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036100791
- Legal business name
- C&R MEDICAL GROUP SC
- Practice address
- 1890 Silver Cross Blvd Ste 570
New Lenox, IL 60451-9606 - Phone
- (815) 463-3700
- Fax
- (815) 463-3701
- NPI assigned
- Jul 22, 2007
- Last updated
- Nov 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Corinne Nawrocki, MD
- Title
- Physician
- Phone
- (815) 463-3700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036100791 | IL | Primary |
Addresses
Primary practice location
1890 Silver Cross Blvd Ste 570
New Lenox, IL 60451-9606
Mailing address
PO Box 66542
Chicago, IL 60666-0542
Phone (815) 774-0548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1073221 | C & R Medical Group | Certificate of waiver | Sep 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
1890 Silver Cross Blvd
Ste 570
New Lenox, IL 60451
Phone (815) 463-3700
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Primary Care Nurse Practitioner
- New Lenox, IL
- NPI 1346887684
-
- Family Nurse Practitioner
- Oak Lawn, IL
- NPI 1629491543
-
- Nurse Practitioner
- New Lenox, IL
- NPI 1346775574
-
- Family Medicine Physician
- New Lenox, IL
- NPI 1649464652
-
- Family Medicine Physician
- New Lenox, IL
- NPI 1346288354
-
- Family Medicine Physician
- Orland Park, IL
- NPI 1245240662
-
- Family Medicine Physician
- New Lenox, IL
- NPI 1063523025
-
- Family Medicine Physician
- New Lenox, IL
- NPI 1891016580
-
- Family Medicine Physician
- New Lenox, IL
- NPI 1194812602
-
- Nurse Practitioner
- New Lenox, IL
- NPI 1558826735
-
- Medical Physician Assistant
- New Lenox, IL
- NPI 1689864266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572912000000",
"number": "1487854006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66542",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606660542",
"telephone_number": "815-774-0548",
"fax_number": "815-774-0573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 SILVER CROSS BLVD STE 570",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519606",
"telephone_number": "815-463-3700",
"fax_number": "815-463-3701"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C&R MEDICAL GROUP SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-22",
"last_updated": "2019-11-05",
"status": "A",
"authorized_official_last_name": "NAWROCKI",
"authorized_official_first_name": "CORINNE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "815-463-3700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036100791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.