Individual
CRAIG H DUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
609 IL ROUTE 146 E, ELIZABETHTOWN, IL 62931-4015
(618) 289-4858
Mailing address
609 IL ROUTE 146 E, ELIZABETHTOWN, IL 62931-4015
(618) 499-9648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.021921
IL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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