Individual
REILLY CROFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 W HUGHES ST, FRANKLIN GROVE, IL 61031-9450
(815) 677-1090
Mailing address
210 W HUGHES ST, FRANKLIN GROVE, IL 61031-9450
(815) 677-1090
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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