Organization
CRANDON EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H GATEWOOD (AUTHORIZED OFFICIAL)
(727) 437-0817
Entity
Organization
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 356-5362
(773) 768-8154
Mailing address
PO BOX 42911, PHILADELPHIA, PA 19101-2911
(954) 939-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2006
Last updated
09/09/2025
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