Crandon Emergency Physicians LLC
Crandon Emergency Physicians LLC is a healthcare organization registered as Emergency Medicine Physician in Chicago, IL, holding Type 2 (organization) NPI 1376582783 since 2006. The authorized official on file is Joseph Gatewood, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1376582783 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crandon Emergency Physicians LLC |
| Practice address | 8012 S CRANDON AVE, Chicago, IL, 60617 |
| Phone | 7733565362 |
| Fax | 7737688154 |
| Enumeration date | 2006-06-05 |
| Last updated in NPPES | 2025-09-09 |
Authorized official
| Name | Joseph Gatewood |
|---|---|
| Title | Authorized Official |
| Phone | 7274370817 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Crandon Emergency Physicians LLC NPI: 1376582783 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 8012 S CRANDON AVE, Chicago, IL, 60617
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053391359 | South Shore Hospital Corporation | Organization | General Acute Care Hospital | Chicago, IL |
| 1982655437 | Charles Parrish | Individual | General Practice Physician | Chicago, IL |
| 1659319754 | Emergency Department Associates, P.C. | Organization | Emergency Medicine Physician | Chicago, IL |
| 1710912365 | Thomas Bahk | Individual | Emergency Medicine Physician | Chicago, IL |
| 1679596456 | Raoul Davion | Individual | Obstetrics & Gynecology Physician | Chicago, IL |
| 1225041452 | Natalia Dejneka | Individual | Emergency Medicine Physician | Chicago, IL |
| 1801995113 | Kiljung Kim | Individual | Anesthesiology Physician | Chicago, IL |
| 1770672263 | Rodolfo Rubio | Individual | Surgery Physician | Chicago, IL |
Verify this record
Cross-check NPI 1376582783 against the authoritative CMS record: view Crandon Emergency Physicians LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Crandon Emergency Physicians LLC?
What is the NPI number for Crandon Emergency Physicians LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-09.