Organization
CRAIN DIAGNOSTICS PLLC
Active
Other names
Crain Diagnostics LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRE LEONA CRAIN FPA,FNP-BC (CEO)
(170) 888-2053
Entity
Organization
Contact information
Practice address
17066 S PARK AVE, SOUTH HOLLAND, IL 60473-3369
(708) 882-0532
(647) 799-2792
Mailing address
17066 S PARK AVE, SOUTH HOLLAND, IL 60473-3369
(170) 888-2053
(647) 799-2792
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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