Connie Jean Crawford O.D.

NPI 1811969512 - Optometrist - 152W00000X

NPI Details
NPI 1811969512
Gender Female
Enumeration Date 02/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
884 HILLSIDE AVE
ANTIOCH IL, 60002-1226, US
Phone (847) 395-4090
Fax
Business Location
395 CAPITAL LN
GURNEE IL, 60031-4496, US
Phone (847) 548-9077
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046-0079136
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According to our database, Dr. Connie Jean Crawford O.D. NPI is 1811969512, taxonomy code is 152W00000X and license number is 046-0079136, license state is located at Illinois. Connie Jean Crawford O.D. physically located at 884 Hillside Ave, Antioch IL, 60002-1226. NPI Number Connie Jean Crawford O.D. has the Individual type.

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1811969512 NPI number is provided on an as is basis without warranty of any kind. 1811969512 is maintained by the National Plan & Provider Enumeration System. The contents of Connie Jean Crawford O.D. are for informational purposes only.