Crainsmith, Rebecca J
Crainsmith, Rebecca J is an individual health care provider with primary practice located at 19162 88Th Ave , Mokena IL 60448-8135. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Crainsmith, Rebecca J can be contacted via phone (708) 567-4796.Contact Information
Primary practice address
19162 88Th Ave
Mokena IL 60448-8135
Phone: (708) 567-4796
Fax: (708) 326-2965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
| NPI number | 1528175015 |
|---|---|
| LBN Legal business name | Crainsmith, Rebecca J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Sep 26th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528175015 | NPPES |
| Illinois | Other | 09932090 | BLUE CROSS BLUE SHIELD |
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