Crawford, Robert D

Crawford, Robert D is an individual health care provider with primary practice located at 5405 N Knoxville Ave , Peoria IL 61614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Crawford, Robert D can be contacted via phone (309) 691-4410.

Contact Information

Primary practice address
5405 N Knoxville Ave Peoria IL 61614
Phone: (309) 691-4410
Fax: (309) 589-2830
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036061108 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036061108 Illinois

Profile Details

NPI number 1336179449
LBN Legal business name Crawford, Robert D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Sep 9th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336179449 NPPES
Illinois MEDICAID 036061108

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