Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLOS CRUDUP, M.D.
Active Sole ProprietorCARLOS CRUDUP, M.D. is a Family Medicine healthcare provider located in GLENWOOD, Illinois. NPI 1174556484 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GLENWOOD, IL
Registration Details
- NPI Number
- 1174556484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2006 (20.069887272372 yrs)
- Last Updated
- Feb 2, 2016
- License
-
036-112800 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19310 S HALSTED STGLENWOOD, IL, 604251562Browse IL providers · Browse ZIP 60425
- Phone
- 7083003132
- Fax
- 7083003149
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GLENWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHELLE MEEKS | MD | 1992704217 |
| RICHARD PHILLIPS | MD | 1952487076 |
| KATRICE MARIE BROOKS | M.D. | 1962723981 |
| MOHAMMED ADNAN KHALEELUDDIN | D.O. | 1609317387 |
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.