Individual
DR. CRAIG AUGUST WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Mailing address
6830 W OQUENDO RD, 101, LAS VEGAS, NV 89118-2539
(702) 258-3066
(702) 258-1907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3297
NV
Other
Enumeration date
04/14/2016
Last updated
06/01/2016
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