Individual
DR. PAUL D CROSSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19060 EVERETT BLVD, SUITE 112, MOKENA, IL 60448-1942
(708) 478-4302
(708) 478-4303
Mailing address
62647 COLLECTION CENTER DR, CHICAGO, IL 60693-0626
(773) 726-4713
(815) 941-2476
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036114158
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114158
—
IL
Enumeration date
08/23/2005
Last updated
02/07/2025
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