Kenneth R Crossman, PHD(C) is a
Psychologist based in Oak Park, Illinois. Kenneth R Crossman is licensed to practice in Illinois (license number 180-003154) and his current practice location is
137 N Oak Park Ave, Suite 400, Oak Park, Illinois. He can be reached at his office (for appointments etc.) via phone at
(708) 386-9690.
NPI number for Kenneth R Crossman is 1063654002 and his current mailing address is 137 N Oak Park Ave, Suite 400, Oak Park, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063654002.
Healthcare Provider's Profile
Full Name | Kenneth R Crossman |
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Gender | Male |
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Speciality | Psychologist |
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Location | 137 N Oak Park Ave, Oak Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063654002
- Provider Enumeration Date: 04/06/2009
- Last Update Date: 04/06/2009
Medical Identifiers
Medical identifiers for Kenneth R Crossman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063654002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 180-003154 (Illinois) | Secondary |
103T00000X | Psychologist | 180-003154 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth R Crossman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kenneth R Crossman, PHD(C) 137 N Oak Park Ave, Suite 400, Oak Park, IL 60301-1344 Ph: (708) 386-9690 | Kenneth R Crossman, PHD(C) 137 N Oak Park Ave, Suite 400, Oak Park, IL 60301-1344 Ph: (708) 386-9690 |
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