Healthcare Provider Details

I. General information

NPI: 1013838598
Provider Name (Legal Business Name): MATTHEW THOMAS CRANE DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 KINGERY HWY STE 204
WILLOWBROOK IL
60527-2326
US

IV. Provider business mailing address

13253 W WOODLAND DR
HOMER GLEN IL
60491-8760
US

V. Phone/Fax

Practice location:
  • Phone: 630-891-3980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: