John Michael Crulcich, A.P.N., F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-002450(41-19641) Issued in IL

Practice address

333 S State St
Room 2143
Chicago, IL 60604-3900

Phone

(312) 747-9678

Fax

(312) 747-9420

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. J. Michael Crulcich Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962583427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 S MILLER ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073409",
            "telephone_number": "312-421-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S STATE ST",
            "address_2": "ROOM 2143",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606043900",
            "telephone_number": "312-747-9678",
            "fax_number": "312-747-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRULCICH",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "A.P.N., F.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-002450(41-19641)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "CRULCICH",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "A.P.N., F.N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Claudia Lorena Cruces Lopez, DMD
• Gabriela Crucianu, MA
• Samara Crudup, M.D.
• Crue Therapy, PLLC
• Kira Cruickshank, PSYD
• Casey James Crumbliss, O.D.
• Kara E Crumbliss, OD
• Andrea Crummy
• Tamra Crump Jordan
• Danielle Crump, RBT

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.