Carlos Crudup, M.D

NPI 1174556484 · on the registry since 2006 · sole proprietor

Practice

Address: 19310 S Halsted St
Glenwood, IL 60425
Phone: (708) 300-3132
Fax: (708) 300-3149
Organisation at this address: Jencare Neighborhood Medical Center Glenwood, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-02-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois