Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215772033 Individual Practitioner Male Practitioner

Jack Dyer Crouch

Dermatology • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Jack Crouch is a registered healthcare professional specializing in Dermatology in Chicago, IL. Practice services are available at 4646 N MARINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4646 N Marine Dr

Chicago, IL 606405759

Telephone 7735645225
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
242 Specialists

Practicing in Chicago, IL (673 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-25
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 125.084866

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013697465

Doctor of Medicine (M.D.)

NPI 1073748422

Doctor of Medicine (M.D.)

Dr. Samuel Uguru , MD

Internal Medicine

NPI 1104653708

Doctor of Medicine (M.D.)

Fadi Khir

Internal Medicine

NPI 1134851017
Dr. Ashir Bansal , MD

Internal Medicine

NPI 1144876087

Doctor of Medicine (M.D.)

NPI 1154932291

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 25, 2024

Registered at 4646 N MARINE DR, CHICAGO, IL 606405759 (Tel: 7735645225)

📍
Updated Business Mailing Address June 25, 2024

Registered at 4646 N MARINE DR, CHICAGO, IL 606405759 (Tel: 7735645225)

👤
Provider Name / Credentials Updated June 25, 2024

Recorded as JACK CROUCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Dermatology (License #125.084866 in IL)

🟢
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215772033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: June 25, 2024
Sole Proprietor: No

Mailing Address

4646 N Marine Dr

Chicago, IL 606405759

Phone: 7735645225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.