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Individual

CRAIG R MCCLOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
626 BETHANY RD, DEKALB, IL 60115-4939
(815) 748-8993
Mailing address
6910 S MADISON ST, WILLOW BROOK, IL 60527-5504
(815) 748-8993

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
IL

Other

Enumeration date
08/10/2005
Last updated
07/09/2007
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