| Dr Brian Crowley, DO | |
|
500 W Court St, Kankakee, IL 60901-3661 | |
| (815) 937-2100 | |
| Not Available |
| Full Name | Dr Brian Crowley |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 500 W Court St, Kankakee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225077837 | NPI | - | NPPES |
| 036090959 | Medicaid | IL | |
| 036090959 | Medicaid | CA | |
| 4622394 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-090959 (Illinois) | Primary |
| Entity Name | Emergency Medical Associates Of Palos, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285918128 PECOS PAC ID: 1052578366 Enrollment ID: O20120127000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Crowley, DO 555 W Court St, Kankakee, IL 60901-3675 Ph: (888) 828-3193 | Dr Brian Crowley, DO 500 W Court St, Kankakee, IL 60901-3661 Ph: (815) 937-2100 |
Dr. Renee Lori Peksa-sink, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 | |
Dr. Vernell Johnson Iii, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2100 | |
Dr. Glenn Casimiro Gomes, M.D., M.P.H Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 375 N Wall St, Kankakee, IL 60901 Phone: 815-935-7500 | |
Dr. Thaddeus Manczko, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Steven Decker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
John Lacheta, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 |