Higgs, Craig Louis-Albert

Higgs, Craig Louis-Albert is an individual health care provider with primary practice located at 5114 N Glen Park Place Rd , Peoria IL 61614-4686. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Higgs, Craig Louis-Albert can be contacted via phone (309) 683-5600.

Contact Information

Primary practice address
5114 N Glen Park Place Rd Peoria IL 61614-4686
Phone: (309) 683-5600
Fax: (309) 683-5607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-116366 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-116366 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD432119 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD432119 Pennsylvania

Profile Details

NPI number 1649488925
LBN Legal business name Higgs, Craig Louis-Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Sep 26th, 2008 - about 18 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 1649488925 NPPES
Illinois Other CA4079 RR MEDICARE GROUP PTAN
Illinois Other 809840 RR MEDICARE GROUP PTAN
Illinois Other P00617108 RR MEDICARE GROUP PTAN
Illinois MEDICAID 036116366 RR MEDICARE GROUP PTAN

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