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Jack Dyer Crouch

Dermatology β€’ Chicago, IL

Active NPI 1215772033 Individual Practitioner Male Practitioner
Practice location in NPPES

4646 N Marine Dr
Chicago, IL 606405759

Call 7735645225 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4646 N Marine Dr

Chicago, IL 606405759

Telephone 7735645225
Organization at the Same NPPES Address or Phone
Vhs Acquisition Subsidiary Number 3 Inc Facility NPI 1770568123

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $312.51 across 2 records.

By nature of payment

  • Food and Beverage: $312.51 across 2 records.

Reporting-company totals

  • Galderma Laboratories, L.P.: $177.91 across 1 record.
  • Sanofi and Genzyme US Companies: $134.60 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jack Crouch has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jack Crouch as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

233 active clinicians are listed under Dermatology with a practice address in Chicago, IL (647 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

10.3% of these 233 clinicians have the CMS telehealth indicator.

54.9% of these 233 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $312.51.

Manufacturer Payment Nature Product Type Amount ($)
Galderma Laboratories, L.P.
Food and Beverage
In-kind items and services
β€” General $177.91
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $134.60

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-25
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DERMATOLOGY

Medicare Enrollment ID

I20240822002865

Enrollment State Jurisdiction

IL

PECOS Control ID

9436698404

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

23 listed
Dr. Maham Ashraf , MD

Internal Medicine

NPI 1912211442

Doctor of Medicine (M.D.)

Dr. Janushi Dalal , MD

Radiology - Diagnostic Radiology

NPI 1447538467

Doctor of Medicine (M.D.)

Jeremiah Dore

Internal Medicine - Hospice and Palliative Medicine

NPI 1437882685
Dr. Allina Ghimire , MD

Internal Medicine

NPI 1831701978

Doctor of Medicine (M.D.)

Neha Gupta

Internal Medicine

NPI 1932489903
Dr. Ishtiaq Hussain , MD

Internal Medicine

NPI 1801411434

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated June 25, 2024.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from July 2024 to August 2026.

No reviews have been published yet. Leave a review.

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

Other Dermatology Specialists in Chicago

All Dermatology Specialists in Chicago

Mailing Address

4646 N Marine Dr

Chicago, IL 606405759

Phone: 7735645225

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.