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NPI Code Detail

MEDICARE: STEPHEN GERARD CROWLEY MD

MEDICARE: STEPHEN GERARD CROWLEY MD
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
1207XS0114XAdult Reconstructive Orthopaedic Surgery Physician036180444IL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770160954
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN GERARD CROWLEY MD
Provider Business Mailing Address
First Line : 47 NEW SCOTLAND AVE DEPT OF
Second Line :
City : ALBANY
State : NY
Zip : 12208-3412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9650 GROSS POINT RD.
Second Line : SUITE 2900
City : SKOKIE
State : IL
Zip : 60076-5006
Country : US
Telephone Number : 224-251-2900
Fax Number : 224-251-5096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 06/02/2026

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Directions to “ STEPHEN GERARD CROWLEY MD” Practice Location

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