Provider Demographics
NPI:1972687382
Name:CROWE, SHEILA
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:CROWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16756 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-2716
Mailing Address - Country:US
Mailing Address - Phone:708-532-6450
Mailing Address - Fax:
Practice Address - Street 1:16756 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-2716
Practice Address - Country:US
Practice Address - Phone:708-532-6450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008926111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL210103OtherMEDICARE PROVIDER NUMBER
IL210103OtherMEDICARE PROVIDER NUMBER
IL210103Medicare PIN