Southside Family Medicine PC
NPI 1922361450 · Family Medicine Physician · Chicago, IL
Southside Family Medicine PC is a Family Medicine Physician organization in Chicago, IL (NPI 1922361450).
Provider details
- NPI number
- 1922361450
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Crudup, President(773) 667-5577
- License
- 336.073573 (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
14 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
- 2012-06-19
- Last updated
- 2012-06-19
Frequently asked questions
- What is Southside Family Medicine PC's NPI number?
- Southside Family Medicine PC's National Provider Identifier (NPI) is 1922361450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Family Medicine PC?
- Southside Family Medicine PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southside Family Medicine PC located?
- Southside Family Medicine PC's practice location on file with NPPES is 1525 E 55th St, Chicago, IL 60615-5512.
- What is Southside Family Medicine PC's phone number?
- The practice phone number listed in the NPPES registry for Southside Family Medicine PC is (773) 667-5577.
- Who is the authorized official for Southside Family Medicine PC?
- The authorized official listed on Southside Family Medicine PC's NPPES record is Carlos Crudup, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Family Medicine PC's NPI active?
- Yes — Southside Family Medicine PC's NPI (1922361450) is active in the NPPES registry as of the last update on 2012-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.