# RAYCRAFT & JONES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497890453
- **Authorized official:** DR. EDMUND W RAYCRAFT M.D. (PARTNER)
- **Authorized official phone:** (217) 875-8100

## Contact information

- **Practice address:** 304 W HAY ST, SUITE 111, DECATUR, IL 62526-6328
- **Practice address phone:** (217) 875-8100
- **Practice address fax:** (217) 872-5486
- **Mailing address:** 304 W HAY ST, SUITE 111, DECATUR, IL 62526-6328
- **Mailing address phone:** (217) 875-8100
- **Mailing address fax:** (217) 872-5486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 11/06/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5574560001 | MEDICARE DME \# | IL |
| 01 | — | DE1276 | RAILROAD MEDICARE | IL |