Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
QUENTIN CROCKETT
Active Sole ProprietorQUENTIN CROCKETT is a Bus healthcare provider located in LYNWOOD, Illinois. NPI 1053853010 is currently active in the NPPES registry. Verify at CMS.
Bus · LYNWOOD, IL
Registration Details
- NPI Number
- 1053853010
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2016 (9.7556067681829 yrs)
- Last Updated
- Nov 8, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
19712 CRESCENT AVELYNWOOD, IL, 604111460Browse IL providers · Browse ZIP 60411
- Phone
- 7738862626
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in LYNWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOVON MALIK MCDONALD | — | 1528224102 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.