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Individual
CATHERINE CRABTREE
Active
Individual
CATHERINE CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036061599
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020057300
BLACK LUNG
IL
05
—
036061599
—
IL
01
—
075301
HEALTH ALLIANCE
IL
01
—
08421024
BLUE CROSS BLUE SHIELD
IL
01
—
133586700
ACS-OWCP
IL
01
—
14D0435365
CLIA CERT
IL
01
—
222674
PERSONAL CARE
IL
01
—
466639
HEALTHLINK
IL
01
—
6394P
CATERPILLAR
IL
01
—
CD7143
RR MEDICARE GRP
IL
01
—
P00174614
RR MEDICARE PIN
IL
Enumeration date
07/18/2006
Last updated
12/16/2011
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