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Individual

DR. JAMES R CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
310 S GREENLEAF ST, SUITE 209, GURNEE, IL 60031-5708
(847) 244-1657
(847) 244-1657
Mailing address
310 S GREENLEAF ST, SUITE 209, GURNEE, IL 60031-5708
(847) 244-1657
(847) 244-1657

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04007910
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04007910
IL
01
04915265
BLUE CROSS - BLUE SHIELD
IL
Enumeration date
02/27/2007
Last updated
03/23/2009
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