Crawford Surgicare

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

016004485 Issued in IL

Legal business name

CRAWFORD SURGICARE

Practice address

6441 S Pulaski Rd
Chicago, IL 60629-5148

Phone

(773) 582-7100

Fax

(773) 561-1111

NPI assigned

Apr 24, 2008

Organization subpart

Yes

Parent organization

W JACOBSEN DPM PCAs reported in NPPES

Name

Dr. Walter Jacobsen, DPM

Title

President

Phone

(773) 582-7100

Part of

W Jacobsen DPM Professional Corporation

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2008.

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1508031295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-582-7100",
            "fax_number": "773-561-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-582-7100",
            "fax_number": "773-561-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD SURGICARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "W JACOBSEN DPM PC",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-582-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016004485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cranial Technologies Inc
• Cranial Technologies, Inc.
• Melanie Brooke Crass, PHARMD
• Camila Crausaz, DMD
• Karen Craven, LCPC
• Abby Crawford
• Almario S Crawford
• April BJV Crawford, PSYD
• Carrie Elizabeth Crawford, MS, OTR-L
• Clifford S. Crawford, M.D.

• All providers in Chicago, IL
• Podiatric Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.