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Individual

SUSAN ELIZABETH CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1675 W DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 318-9300
(847) 723-9583
Mailing address
101 S WASHINGTON AVE STE 122, PARK RIDGE, IL 60068-4258
(847) 318-9300
(847) 723-9583

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036108669
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036108669
IL
Enumeration date
03/22/2006
Last updated
12/22/2021
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