Individual
JOSEPH CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2500
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036-112539
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112539
—
IL
01
—
P00188140
RAILROAD MEDICARE
IL
Enumeration date
07/28/2006
Last updated
04/21/2023
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