Individual
LINDSAY J MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002744
IL
363A00000X
Physician Assistant
Primary
085002744
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085002744
STATE LICENSE
IL
01
—
1072634
SPECIALTY BOARDS
IL
01
—
385001585
CS LICENSE
IL
Enumeration date
02/06/2007
Last updated
03/07/2023
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