Organization
RAYCRAFT & JONES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND W RAYCRAFT M.D. (PARTNER)
(217) 875-8100
Entity
Organization
Contact information
Practice address
304 W HAY ST, SUITE 111, DECATUR, IL 62526-6328
(217) 875-8100
(217) 872-5486
Mailing address
304 W HAY ST, SUITE 111, DECATUR, IL 62526-6328
(217) 875-8100
(217) 872-5486
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5574560001
MEDICARE DME #
IL
01
—
DE1276
RAILROAD MEDICARE
IL
Enumeration date
02/20/2007
Last updated
11/06/2007
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