Individual
SHANNON CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5450
(630) 352-5499
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5450
(630) 352-5499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085004747
STATE LICENSE
IL
Enumeration date
08/02/2013
Last updated
03/12/2024
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