Active NPI
Jennifer Hasenyager Crimmins, M.D.
- General Practice Physician
- Lake Zurich, IL
National Provider Identifier
1952733255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036191240
- Practice address
- 900 W Il Route 22 Ste 120
Lake Zurich, IL 60047-3416 - Phone
- (847) 719-5800
- NPI assigned
- Aug 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036101240 | IL | |
| General Practice Physician | 208D00000X | 036191240 | IL | Primary |
Addresses
Primary practice location
900 W Il Route 22 Ste 120
Lake Zurich, IL 60047-3416
Mailing address
819 N Walnut Ave
Arlington Heights, IL 60004-5444
Phone (847) 363-2121
Other practice location 1
2300 Linden Leaf Dr
Glenview, IL 60025-2719
Phone (847) 363-9669
Other names 1
- Dr. Jennifer Hasenyager Smith
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036101240 | IL | MD | Ophthalmology Physician |
| 036191240 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Ophthalmology | Past | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952733255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 N WALNUT AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600045444",
"telephone_number": "847-363-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W IL ROUTE 22 STE 120",
"city": "LAKE ZURICH",
"state": "IL",
"postal_code": "600473416",
"telephone_number": "847-719-5800"
}
],
"practiceLocations": [
{
"address_1": "2300 Linden Leaf Dr",
"address_purpose": "LOCATION",
"city": "Glenview",
"state": "IL",
"postal_code": "600252719",
"country_code": "US",
"telephone_number": "847-363-9669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRIMMINS",
"first_name": "JENNIFER",
"middle_name": "HASENYAGER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036101240",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036191240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "SMITH",
"middle_name": "HASENYAGER",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Zurich, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.