Organization
RJCG, LLC
Active
Other names
Crainsmith Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA J CRAINSMITH M.D. (OWNER)
(708) 567-4796
Entity
Organization
Contact information
Practice address
19162 S 88TH AVE., MOKENA, IL 60448
(708) 567-4796
Mailing address
19162 S 88TH AVE, MOKENA, IL 60448
(708) 567-4796
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932090
BCBS PROVIDER NUMBER
IL
Enumeration date
05/04/2007
Last updated
08/22/2020
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