Individual
DR. JEFFREY A. CROWHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1703 POLARIS CIR, OTTAWA, IL 61350-1683
(815) 434-1900
(815) 434-0933
Mailing address
1703 POLARIS CIR, OTTAWA, IL 61350-1683
(815) 434-1900
(815) 434-0933
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016003179
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016003179
—
IL
01
—
480025582
RAILROAD MEDICARE
—
01
—
60101269
BLUE CROSS
IL
Enumeration date
06/28/2005
Last updated
07/26/2025
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