Crawford, Kathleen K

Crawford, Kathleen K is an individual health care provider with primary practice located at 8600 N State Route 91 Suite 250, Peoria IL 61615-9541. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Crawford, Kathleen K can be contacted via phone (309) 692-5393.

Contact Information

Primary practice address
8600 N State Route 91 Suite 250 Peoria IL 61615-9541
Phone: (309) 692-5393
Fax: (309) 692-2583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036097994 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036097994 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036097994 Illinois

Profile Details

NPI number 1780673723
LBN Legal business name Crawford, Kathleen K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 5th, 2010 - about 14 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 1780673723 NPPES
Illinois MEDICAID 036097994

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