NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southside Family Medicine PC

Family Medicine Physician in Chicago, IL · enumerated 2012 · authorized official Carlos Crudup, President.

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

National Provider Identifier

1922361450

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Southside Family Medicine PC
Practice address 1525 E 55th St, Suite 307, Chicago, IL, 60615
Fax (773) 667-9977
Enumeration date Jun 19, 2012
Last updated in NPPES Jun 19, 2012

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 336.073573 (IL) Primary

Authorized official

Name Carlos Crudup
Title President

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 → Validate an NPI →

Frequently asked questions

What is the NPI number for Southside Family Medicine PC?
The NPI for Southside Family Medicine PC is 1922361450, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southside Family Medicine PC?
NPPES lists Carlos Crudup (President) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-19.