Individual
TAMMY MICHELLE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S LONG ST, SHELBYVILLE, IL 62565-2100
(217) 994-4101
Mailing address
400 S LONG ST, SHELBYVILLE, IL 62565-2100
(217) 994-4101
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
IL
Enumeration date
11/17/2022
Last updated
11/17/2022
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