Active NPI
Crossover Health Medical Group
- Specialist
- Chicago, IL
National Provider Identifier
1992685341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- CROSSOVER HEALTH MEDICAL GROUP
- Practice address
- 433 W Van Buren St
Chicago, IL 60607-0433 - Phone
- (949) 891-0328
- NPI assigned
- Sep 5, 2025
- 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
- Jenette Hunter, CPCS
- Title
- Credentialing Manager
- Phone
- (971) 500-2661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
433 W Van Buren St
Chicago, IL 60607-0433
Mailing address
433 W Van Buren St
Chicago, IL 60607-0433
Phone (949) 891-0328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193200000X | Other | IL | NONMEDICARE |
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 |
|---|---|---|---|
| 14D2336022 | Crossover Health Medical Group, Apc | Certificate of waiver | Dec 21, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Crossover Medical Group
Locations
433 W Van Buren St
Chicago, IL 60607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757030400000",
"number": "1992685341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 W VAN BUREN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606070433",
"telephone_number": "949-891-0328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 W VAN BUREN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606070433",
"telephone_number": "949-891-0328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSOVER HEALTH MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-05",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "JENETTE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "971-500-2661",
"authorized_official_credential": "CPCS"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONMEDICARE",
"identifier": "193200000X",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.