Crandell, Elisa K

Crandell, Elisa K is an individual health care provider with primary practice located at 55 E Loop Rd #201 , Wheaton IL 60187. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is her primary health care specialty. Crandell, Elisa K can be contacted via phone (630) 653-8899.

Contact Information

Primary practice address
55 E Loop Rd #201 Wheaton IL 60187
Phone: (630) 653-8899
Fax: (630) 653-8957
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 01902531 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1760550347
LBN Legal business name Crandell, Elisa K
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers