Individual
DR. JAMES RUSSELL CREATH SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1345 S WILSON DR, LAKE FOREST, IL 60045-3548
(847) 234-6212
Mailing address
1345 S WILSON DR, LAKE FOREST, IL 60045-3548
(847) 234-6212
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036037580
IL
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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