Healthcare Provider Details

I. General information

NPI: 1144596628
Provider Name (Legal Business Name): JENNIFER CROIX MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2012
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 SKOKIE BLVD STE 500
NORTHBROOK IL
60062-1618
US

IV. Provider business mailing address

40 SKOKIE BLVD STE 500
NORTHBROOK IL
60062-1618
US

V. Phone/Fax

Practice location:
  • Phone: 224-282-7800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number284898
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036144314
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: