Individual
STEPHANIE CRUTCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 W SAINT PAUL AVE, MCHENRY, IL 60050-5623
(815) 735-3408
Mailing address
3701 W SAINT PAUL AVE, MCHENRY, IL 60050-5623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003588
IL
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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