| 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  |