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Individual

ABBY CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(877) 737-4636
Mailing address
7 VALEWOOD RUN, PENFIELD, NY 14526-2801
(585) 406-6300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006786
IL
363A00000X
Physician Assistant
10002912A
IN

Other

Enumeration date
10/25/2018
Last updated
10/14/2020
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