Individual
FELICIA CROCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2133 WEST LEXINGTON, 2ND FLOOR, CHICAGO, IL 60612
(312) 743-5632
(312) 746-6526
Mailing address
2133 WEST LEXINGTON, 2ND FLOOR, CHICAGO, IL 60612
(312) 743-5632
(312) 746-6526
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041261346
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041261346
RN
IL
Enumeration date
10/20/2010
Last updated
10/20/2010
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