Jack Crouch
NPI 1215772033 · Dermatology Physician · Chicago, IL
Enrolled with Medicare as Order and Referring Only - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Crouch is a Dermatology Physician provider in Chicago, IL (NPI 1215772033).
Provider details
- NPI number
- 1215772033
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125.084866 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-06-25
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Frequently asked questions
- What is Jack Crouch's NPI number?
- Jack Crouch's National Provider Identifier (NPI) is 1215772033, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Crouch's specialty?
- Jack Crouch is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Crouch located?
- Jack Crouch's practice location on file with NPPES is 4646 N Marine Dr, Chicago, IL 60640-5759.
- What is Jack Crouch's phone number?
- The practice phone number listed in the NPPES registry for Jack Crouch is (773) 564-5225.
- Does Jack Crouch accept Medicare?
- Jack Crouch is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Crouch's NPI active?
- Yes — Jack Crouch's NPI (1215772033) is active in the NPPES registry as of the last update on 2024-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.