James Russell Creath SR. M.D.

NPI 1649540816 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1649540816
Gender Male
Enumeration Date 01/05/2012
Last Updated 01/05/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1345 S WILSON DR
LAKE FOREST IL, 60045-3548, US
Phone (847) 234-6212
Fax
Business Location
1345 S WILSON DR
LAKE FOREST IL, 60045-3548, US
Phone (847) 234-6212
Fax
Toxanomy
Taxonomy Code 207X00000X
License State Illinois
License Number 036037580
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According to our database, Dr. James Russell Creath SR. M.D. NPI is 1649540816, taxonomy code is 207X00000X and license number is 036037580, license state is located at Illinois. James Russell Creath SR. M.D. physically located at 1345 S Wilson Dr, Lake Forest IL, 60045-3548. NPI Number James Russell Creath SR. M.D. has the Individual type.

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1649540816 NPI number is provided on an as is basis without warranty of any kind. 1649540816 is maintained by the National Plan & Provider Enumeration System. The contents of James Russell Creath SR. M.D. are for informational purposes only.