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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Crossroads Physician Corp

Internal Medicine Physician in Mcleansboro, IL · enumerated 2006 · authorized official Debbie Brewer, Director of Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366504888

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Crossroads Physician Corp
Other name <Unavail>
Parent organization Crossroads Physician Corp
Practice address 208 S Washington Street, Mcleansboro, IL, 62859
Fax (618) 643-2891
Enumeration date Dec 14, 2006
Last updated in NPPES Sep 18, 2007

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Debbie Brewer
Title Director of Provider Enrollment

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Crossroads Physician Corp?
The NPI for Crossroads Physician Corp is 1366504888, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crossroads Physician Corp?
NPPES lists Debbie Brewer (Director of Provider Enrollment) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-18.