| Dr Paul D Crossan, MD | |
|
19060 Everett Blvd, Suite 112, Mokena, IL 60448-1942 | |
| (708) 478-4302 | |
| (708) 478-4303 |
| Full Name | Dr Paul D Crossan |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 25 Years |
| Location | 19060 Everett Blvd, Mokena, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669465936 | NPI | - | NPPES |
| 036114158 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036114158 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
| Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
| Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
| Morris Hospital & Healthcare Centers | Morris, IL | Hospital |
| Presence Mercy Medical Center | Aurora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hi Tech Radiation Oncology | 0547152563 | 6 |
| Affiliated Oncologists Llc | 2365606563 | 38 |
| Specialty Physicians Of Illinois Llc | 4183529456 | 111 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Specialty Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Entity Name | Hi Tech Radiation Oncology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922089267 PECOS PAC ID: 0547152563 Enrollment ID: O20040325001270 |
| Entity Name | High Technology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053484667 PECOS PAC ID: 3476544479 Enrollment ID: O20041130000224 |
| Entity Name | Affiliated Oncologists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225314362 PECOS PAC ID: 2365606563 Enrollment ID: O20120620000456 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul D Crossan, MD 62647 Collection Center Dr, Chicago, IL 60693-0626 Ph: (773) 726-4713 | Dr Paul D Crossan, MD 19060 Everett Blvd, Suite 112, Mokena, IL 60448-1942 Ph: (708) 478-4302 |