Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK DYER CROUCH III
ActiveJACK DYER CROUCH III is a Dermatology healthcare provider located in CHICAGO, Illinois. NPI 1215772033 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CHICAGO, IL
Registration Details
- NPI Number
- 1215772033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2024 (2.165262253944 yrs)
- Last Updated
- Jun 25, 2024
- License
-
125.084866 (IL)
Practice Information
- Address
-
4646 N MARINE DRCHICAGO, IL, 606405759Browse IL providers · Browse ZIP 60640
- Phone
- 7735645225
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| BRIAN COOK | M.D. | 1588669683 |
| DR. DANILO V. DELCAMPO | M.D. | 1801893052 |
| DR. KASTYTIS ALEXANDER JUCAS | M.D. | 1609876952 |
| DR. STEPHEN L CARTER | MD | 1013909134 |
| DR. QUENBY LEA ERICKSON | D.O | 1558356410 |
| MR. NEILL T PETERS | M.D. | 1215912795 |
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.