Individual
ALYSSA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
Mailing address
180 S MAIN ST, CANTON, IL 61520-2608
(309) 647-0201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036153212
IL
Other
Enumeration date
05/03/2016
Last updated
04/13/2021
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