Crossroads Physicians Corp
Crossroads Physicians Corp is a healthcare organization registered as Family Medicine Physician in Mount Vernon, IL, holding Type 2 (organization) NPI 1508850520 since 2005. The authorized official on file is Laura Fey, Sr. Director Physician Rev Cycle.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508850520 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crossroads Physicians Corp |
| Practice address | 209 CROSSROADS PL, SUITE 110, Mount Vernon, IL, 62864 |
| Phone | 6182446710 |
| Fax | 6182446779 |
| Enumeration date | 2005-09-06 |
| Last updated in NPPES | 2023-07-07 |
Authorized official
| Name | Laura Fey |
|---|---|
| Title | Sr. Director Physician Rev Cycle |
| Phone | 6152213641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 208600000X | Surgery Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 208800000X | Urology Physician | Secondary | — | — |
| 261QR1300X | Rural Health Clinic/Center | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064567 | Medicaid | IL | — |
| 4132020 | Other | IL | BCBS IL |
Copy-ready billing details
Provider: Crossroads Physicians Corp NPI: 1508850520 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 209 CROSSROADS PL, SUITE 110, Mount Vernon, IL, 62864
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1780678797 | Crossroads Physician Corp | Organization | Family Medicine Physician | Mount Vernon, IL |
| 1699769612 | Crossroads Physician Corp | Organization | Family Medicine Physician | Mount Vernon, IL |
| 1417941436 | Crossroads Physician Corp | Organization | Surgery Physician | Mount Vernon, IL |
| 1417909060 | Gary Reagan | Individual | Urology Physician | Mount Vernon, IL |
| 1912959578 | Lawrence Hollander | Individual | Surgery Physician | Mount Vernon, IL |
| 1790725307 | Chirag Dave | Individual | Pulmonary Disease Physician | Mount Vernon, IL |
| 1801806039 | Elizabeth Cox | Individual | Family Medicine Physician | Mount Vernon, IL |
| 1194980516 | Crossroads Physician Corp | Organization | Family Medicine Physician | Mount Vernon, IL |
Verify this record
Cross-check NPI 1508850520 against the authoritative CMS record: view Crossroads Physicians Corp 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
What is a Type 2 NPI?
What type of organization is Crossroads Physicians Corp?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-07.