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NPI Code Detail

MEDICARE: MS. JENEA CRAWFORD

MEDICARE: MS. JENEA CRAWFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1508708967
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENEA CRAWFORD
Provider Business Mailing Address
First Line : 1840 222ND PL
Second Line :
City : SAUK VILLAGE
State : IL
Zip : 60411-5048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SOUTHWEST HWY
Second Line :
City : CHICAGO RIDGE
State : IL
Zip : 60415-1426
Country : US
Telephone Number : 708-425-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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