Crawford, Paul Wesley

Crawford, Paul Wesley is an individual health care provider with primary practice located at 9730 S Western Ave Suite 326, Evergreen Park IL 60805-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Crawford, Paul Wesley can be contacted via phone (708) 952-3040.

Contact Information

Primary practice address
9730 S Western Ave Suite 326 Evergreen Park IL 60805-2814
Phone: (708) 952-3040
Fax: (708) 952-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036052828 Illinois

Profile Details

NPI number 1831179183
LBN Legal business name Crawford, Paul Wesley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 21st, 2021 - about 3 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 1831179183 NPPES
Illinois MEDICAID 036052828

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