Provider Demographics
NPI:1306986195
Name:CRANE, JASON (DO)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:
Last Name:CRANE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5505 PEARL ST
Mailing Address - Street 2:MEDICAL DEPARTMENT
Mailing Address - City:ROSEMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60018-5317
Mailing Address - Country:US
Mailing Address - Phone:847-260-2794
Mailing Address - Fax:847-260-2412
Practice Address - Street 1:5505 PEARL ST
Practice Address - Street 2:MEDICAL DEPARTMENT
Practice Address - City:ROSEMONT
Practice Address - State:IL
Practice Address - Zip Code:60018-5317
Practice Address - Country:US
Practice Address - Phone:847-260-2794
Practice Address - Fax:847-260-2412
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.127005207ZB0001X
IL036-127005207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine