Individual
MRS. EMILY M. CRAIGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
530 ROCKLAND RD, SUITE 500, CRYSTAL LAKE, IL 60014-4131
(815) 893-8480
(815) 893-8481
Mailing address
530 ROCKLAND RD, STE 500, CRYSTAL LAKE, IL 60014-4137
(815) 893-8480
(815) 893-8481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016104
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL6237012
MEDICARE
IL
01
—
IL6238012
MEDICARE
IL
01
—
IL6697014
MEDICARE
IL
01
—
K47410
MEDICARE
IL
01
—
K47411
MEDICARE
IL
01
—
P01060236
RAILROAD MEDICARE
IL
Enumeration date
11/16/2007
Last updated
03/10/2017
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