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Individual

STEPHEN HUGH CROUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3815 HIGHLAND AVE, ADVOCATE GOOD SAMARITAN HOSPITAL, DOWNERS GROVE, IL 60515-1500
(630) 275-5900
(630) 734-1560
Mailing address
PO BOX 88495, DEPT A, CHICAGO, IL 60680-1495
(630) 734-0200
(630) 734-1560

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-090238
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036090238
IL
Enumeration date
08/10/2005
Last updated
12/07/2021
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