Crawley, Terri L

Crawley, Terri L is an individual health care provider with primary practice located at 2000 Lake Ave , Woodstock IL 60098-7401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Crawley, Terri L can be contacted via phone (815) 337-7100.

Contact Information

Primary practice address
2000 Lake Ave Woodstock IL 60098-7401
Phone: (815) 337-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois

Profile Details

NPI number 1386735595
LBN Legal business name Crawley, Terri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 19 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 1386735595 NPPES
Wisconsin MEDICAID 34490200
Wisconsin MEDICAID 036107383 1

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